Robert Andrew Vititow, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

TUV006050 Issued in NY

Practice address

2441 Vestal Parkway East
Sam'S Club
Vestal, NY 13850-2018

Phone

(607) 770-6297

Fax

(607) 766-8592

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Binghamton Ophthalmology Associates, P.C.

  • Eyewear Supplier
  • Binghamton, NY
  • NPI 1245352996
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237248000000",
    "number": "1033209192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 DAVIS STREET",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054239",
            "telephone_number": "607-722-3747",
            "fax_number": "607-722-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 VESTAL PARKWAY EAST",
            "address_2": "SAM'S CLUB",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138502018",
            "telephone_number": "607-770-6297",
            "fax_number": "607-766-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITITOW",
        "first_name": "ROBERT",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2009-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "VUT006050",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "TUV006050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000127034",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "40910",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "93653",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vestal Family Chiropractic, PLLC
• Vestal Healthcare, LLC
• Vestal Mental Health Counseling P.C.
• Vestal Volunteer Emergency Squad Inc
• Benjamin Villacres Mori, MD
• VJNH, Inc.
• VRNC LLC
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP.
• Jamie Leigh Walck

• Corneal and Contact Management Optometrist in Vestal, NY
• Providers in Vestal, NY by specialty
• Corneal and Contact Management Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.