Healthcare Provider Details

I. General information

NPI: 1821918624
Provider Name (Legal Business Name): TELAOPTIX CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 US HIGHWAY 46
WAYNE NJ
07470-6813
US

IV. Provider business mailing address

2010 FESTIVAL PLAZA DR STE 195
LAS VEGAS NV
89135-1455
US

V. Phone/Fax

Practice location:
  • Phone: 702-858-4362
  • Fax: 702-920-8787
Mailing address:
  • Phone: 702-858-4362
  • Fax: 702-920-8787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. AMEL YOUSSEF
Title or Position: OWNER
Credential: OD
Phone: 702-858-4362