DR. DOMINICK JAMES TALLARICO (OD) – Optometrist, NPI 1386536720

DR. DOMINICK JAMES TALLARICO (OD) is a healthcare provider. based in Niagara falls, New York. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 011252 (NY). The NPI Number for DR. DOMINICK JAMES TALLARICO (OD) is 1386536720

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
DR. DOMINICK JAMES TALLARICO (OD)
NPI
1386536720
Phone
(716) 535-6223
Address
6984 DEIDRE CT
Enumeration Date
18 July 2025
Last Update Date
18 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7165642020
Graduation Year
2025 (1 year ago)
PAC ID
6002314747
Group Practice PAC ID
0446228597
Professional Enrollment ID
I20250812001092
Address ID
NY142282021AM2825XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

1,977 OPTOMETRY in NY

Provider Addresses for DR. DOMINICK JAMES TALLARICO (OD)

  • 6984 DEIDRE CT

    NIAGARA FALLS, NY 143043006

    Phone: (716) 535-6223

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250812001092IOptometryNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 14304)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446228597View full group profile
NameSpecialtyState
O P T O M E T R YNY
O P T O M E T R YNY
-NY
O P H T H A L M O L O G YNY
O P H T H A L M O L O G YNY
O P H T H A L M O L O G YRI
Certified Registered Nurse Anesthetist (Crna)NY
O P T O M E T R YNY
O P T O M E T R YNY
O P H T H A L M O L O G YNY

Reviews

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Frequently asked questions

Can I verify DR. DOMINICK JAMES TALLARICO (OD) with an NPI only?
You can start verification with NPI 1386536720 for DR. DOMINICK JAMES TALLARICO (OD), then check state licensing separately.
Is DR. DOMINICK JAMES TALLARICO (OD) still practicing?
DR. DOMINICK JAMES TALLARICO (OD) is currently listed as active in the public NPI registry.
What is DR. DOMINICK JAMES TALLARICO (OD)'s specialty?
The listing groups DR. DOMINICK JAMES TALLARICO (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. DOMINICK JAMES TALLARICO (OD) on a map?
Expect Niagara Falls, New York as a primary anchor for DR. DOMINICK JAMES TALLARICO (OD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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