Individual provider Active NPI

Vanessa Lizeth Silva, OD

  • Optometrist
  • Bronx, NY
National Provider Identifier
1578428108
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
011345 Issued in NY
Practice address
665 Pelham Pkwy N
Bronx, NY 10467-8068
Phone
(718) 208-4739
NPI assigned
Dec 16, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 011345 NY Primary

Addresses

Primary practice location

665 Pelham Pkwy N
Bronx, NY 10467-8068

Mailing address

665 Pelham Pkwy N
Bronx, NY 10467-8068
Phone (718) 208-4739

Other practice location 1

573 W 207th St
New York, NY 10034-2607
Phone (212) 569-3099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260212000377 NY Practitioner - Optometry 2668951302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Vistasite Eye Group IncGroup PAC ID 5496246035, 2 clinicians

Practice addresses (Care Compare)

573 W 207TH St
New York, NY 10034-2607
Phone (212) 569-3099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011345NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vistasite Eye Group Inc Optometrist CurrentSince Feb 1, 2026 Accepting new patients
Opyica 207 International Inc. PastSince Feb 1, 2026 Accepting new patients

Locations

573 W 207th St
New York, NY 10034
Phone (212) 569-3099

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1765843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1578428108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 PELHAM PKWY N",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678068",
            "telephone_number": "718-208-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 PELHAM PKWY N",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678068",
            "telephone_number": "718-208-4739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "573 W 207th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100342607",
            "country_code": "US",
            "telephone_number": "212-569-3099",
            "fax_number": "917-995-0705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVA",
        "first_name": "VANESSA",
        "middle_name": "LIZETH",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-16",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.