Vision Vibrant Medicine PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

VISION VIBRANT MEDICINE PLLC

Practice address

86 Main St Ste 2
Yonkers, NY 10701-8806

Phone

(914) 440-3210

NPI assigned

Nov 23, 2020

Organization subpart

No

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

Authorized official

Name

Lakshmi Pal, MD

Title

Owner

Phone

(646) 714-8977

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

Practitioners 1

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

• Rebecca Mammo, MD

  • Ophthalmology Physician
  • Yonkers, NY
  • NPI 1508062118
  NPD (past)

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1194329938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 MAIN ST STE 2",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107018806",
            "telephone_number": "914-440-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 MAIN ST STE 2",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107018806",
            "telephone_number": "914-440-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION VIBRANT MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-12-08",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "PAL",
        "authorized_official_first_name": "LAKSHMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-714-8977",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "A300215458",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "244649",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.visionvibrant.com",
            "affiliation": "N",
            "endpointDescription": "Ophthalmology",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "86 Main St Ste 2",
            "city": "Yonkers",
            "state": "NY",
            "country_code": "US",
            "postal_code": "107018806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maria Villamia
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• Kyra Vines, COTA/L
• Vital Medical Diagnostics,PC
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• Delfa Vivas-Cajina, LCSW
• Robert Vizioli, RPH

• Ophthalmology Physician in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.