Bronx Vistasite Eyecare Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BRONX VISTASITE EYECARE INC

Practice address

2204 Bartow Ave
Bronx, NY 10475-4616

Phone

(718) 324-2020

Fax

(347) 843-0443

NPI assigned

Apr 26, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Oleg Lisitysn, OD

Title

Optometrist

Phone

(718) 324-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Bronx Vistasite Eyecare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bronx Vistasite Eyecare

  • Eyewear Supplier
  • Bronx, NY
  • NPI 1518355767
  NPD tax ID

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oleg Lisitsyn, OD

  • Optometrist
  • Bronx, NY
  • NPI 1811948052
  Medicare reassignment Care Compare group NPD
• Alisa M Pena, OD

  • Optometrist
  • Bronx, NY
  • NPI 1932923505
  Medicare reassignment Care Compare group NPD
• Chisom Iwuanyanwu, O.D

  • Optometrist
  • Laurelton, NY
  • NPI 1134422355
  Medicare reassignment NPD
• Arielle Ludwig Morris, OD

  • Optometrist
  • Bronx, NY
  • NPI 1831709484
  Medicare reassignment NPD
• Eugene Orloff, OD

  • Optometrist
  • Bronx, NY
  • NPI 1386731974
  Medicare reassignment NPD
• Ruojin Silvia Ren, OD

  • Optometrist
  • Bronx, NY
  • NPI 1265085336
  Medicare reassignment NPD
• Gianinna Jandy Saa, OD

  • Optometrist
  • Bronx, NY
  • NPI 1760904130
  Medicare reassignment NPD
• Eleonora Tamayeva, OD

  • Optometrist
  • Great Neck, NY
  • NPI 1063768109
  NPD (past)

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1114244563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 BARTON AVE # 204",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10475",
            "telephone_number": "917-699-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 BARTOW AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104754616",
            "telephone_number": "718-324-2020",
            "fax_number": "347-843-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX VISTASITE EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "LISITYSN",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "718-324-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03010524",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bronx Vision Group Inc
• Bronx Vision Optometry and Ophthalmic Dispensing PLLC
• Bronx Vista Inc
• Bronx Vista Optique, Inc
• Bronx Vistasite Eyecare
• Bronx Wellness Family Dental P.C
• Bronx Wellness Pharmacy Inc
• Bronx Westchester Medical Group
• Bronx-Lebanon Hospital
• Bronxbridge Nuclear Medical Imaging, PC

• Optometrist in Bronx, NY
• Providers in Bronx, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.