Riverdale Optometry

Primary specialty

OptometristTaxonomy code 152W00000X

License

006447 Issued in NY

Legal business name

RIVERDALE OPTOMETRY

Doing business as

Riverdale Eye Care

Practice address

219 W 231St St
Bronx, NY 10463-5301

Phone

(718) 543-8066

NPI assigned

Jul 10, 2007

Last updated

Jul 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susanna Vaystub, O.D.NPI 1932149739

Title

Member

Phone

(718) 543-8066

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Riverdale Eye Care Doing business as

Locations

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.

• Susanna Vaystub, OD

  • Optometrist
  • Bronx, NY
  • NPI 1932149739
  NPD (past) Authorized official

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1487852612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 W 231ST ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635301",
            "telephone_number": "718-543-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W 231ST ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635301",
            "telephone_number": "718-543-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERDALE OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "VAYSTUB",
        "authorized_official_first_name": "SUSANNA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-543-8066",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02717311",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverdale Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Riverdale Mental Health Association Inc. (Mosiac Mental Health)
• Riverdale Mental Health Clinic-Mica PGRM
• Riverdale Nursing Home Inc
• Riverdale Nurturing Daycare LLC (Doula Family Empowerment)
• Riverdale Ophthalmology PLLC (Riverdale Vision Center)
• Riverdale Oral & Maxillofacial Surgery PC
• Riverdale Oral Health & Implant Center, LLC
• Riverdale Pediatrics, P.C.
• Riverdale Pharmacy LLC (Riverdale Specialty Pharmacy)
• Riverdale Physical Therapy 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 Jul 10, 2007; 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.