Organization Active NPI

Vista Eye Center, LLC

  • Ophthalmologic Surgery Clinic/Center
  • Rockville, MD
National Provider Identifier
1326371808
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
Legal business name
VISTA EYE CENTER, LLC
Practice address
11119 Rockville Pike
Suite 318
Rockville, MD 20852-3143
Phone
(301) 570-2020
Fax
(301) 570-2021
NPI assigned
Sep 15, 2009
Last updated
Jun 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

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

Authorized official

Name
Dr. Setareh Vistamehr, MDNPI 1699748590
Title
Owner
Phone
(203) 915-8434

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
Ophthalmologic Surgery Clinic/Center 261QS0132X NU Primary

Addresses

Primary practice location

11119 Rockville Pike
Suite 318
Rockville, MD 20852-3143

Mailing address

11119 Rockville Pike Suite 318
Rockville, MD 20852-5724
Phone (301) 570-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091102000521 DC Part B Supplier - Clinic/Group Practice 4486791944 Receives reassigned benefits from 1 practitioner
Practice locations: Rockville, MD

National Provider Directory

National Provider Directory

Locations

11119 Rockville Pike
Ste 318
Rockville, MD 20852
Phone (301) 570-2020

9801 Georgia Ave
Ste 332
Silver Spring, MD 20902
Phone (240) 997-1334

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498176000000",
    "number": "1326371808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11119 ROCKVILLE PIKE SUITE 318",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208525724",
            "telephone_number": "301-570-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11119 ROCKVILLE PIKE",
            "address_2": "SUITE 318",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523143",
            "telephone_number": "301-570-2020",
            "fax_number": "301-570-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA EYE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2017-06-23",
        "status": "A",
        "authorized_official_last_name": "VISTAMEHR",
        "authorized_official_first_name": "SETAREH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-915-8434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; 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.