Organization Active NPI

Vista on 3Rd Inc.

  • Optometrist
  • Bronx, NY
National Provider Identifier
1144878778
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISTA ON 3RD INC.
Practice address
2882 3Rd Ave
Bronx, NY 10455-2640
Phone
(718) 585-1500
NPI assigned
Aug 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Rostislav Ryvkin, O.D.NPI 1699757526
Title
Doctor/ Owner
Phone
(718) 585-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2882 3Rd Ave
Bronx, NY 10455-2640

Mailing address

2882 3Rd Ave
Bronx, NY 10455-2640
Phone (718) 585-1500

Other names 1

  • Vista On 3rd Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191015002442 NY Part B Supplier - Clinic/Group Practice 8426389941 Receives reassigned benefits from 5 practitioners
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

2882 3rd Ave
Bronx, NY 10455
Phone (718) 585-1500

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1144878778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2882 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104552640",
            "telephone_number": "718-585-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2882 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104552640",
            "telephone_number": "718-585-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA ON 3RD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "RYVKIN",
        "authorized_official_first_name": "ROSTISLAV",
        "authorized_official_title_or_position": "DOCTOR/ OWNER",
        "authorized_official_telephone_number": "718-585-1500",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista On 3rd Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.