Vista Optometry, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001284 Issued in PA

Legal business name

VISTA OPTOMETRY, LLC

Doing business as

Wise Optical

Practice address

15 Pine Grove SQ
Grove City, PA 16127-4447

Phone

(724) 458-0333

Fax

(724) 458-0335

NPI assigned

Sep 10, 2007

Last updated

Feb 6, 2014By 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

Dr. Menelaos Liulias, O.D.NPI 1902841976

Title

Owner/Managing Member

Phone

(724) 612-3711

Specialties & licenses 5

Addresses

Other identifiers 4

Other names 1

• Wise Optical Doing business as

Locations

Practitioners 2

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.

• Menelaos Liulias, O.D.

  • Optometrist
  • Pittsburgh, PA
  • NPI 1902841976
  Authorized official Same address or phone
• Stacey Marie Hannan, O.D.

  • Optometrist
  • Tarentum, PA
  • NPI 1699711747
  NPD (past)

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1609061019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8131 POST RD",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151013334",
            "telephone_number": "724-612-3711",
            "fax_number": "724-458-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PINE GROVE SQ",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161274447",
            "telephone_number": "724-458-0333",
            "fax_number": "724-458-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA OPTOMETRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "LIULIAS",
        "authorized_official_first_name": "MENELAOS",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "724-612-3711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001284",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5728",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "T2642",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "OEG001284",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": "PA",
            "license": "OEG001284",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH PLAN",
            "identifier": "400553",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "1982534",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "1138132",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TBD",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wise Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Casey Unverzagt, DPT
• Upmc Community Medicine Inc
• Benjamin Veres
• Vinton Chiropractic Center Inc (Pain Relief and Wellness Strategies Center PC)
• Kenneth J. Vinton, D.C.
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2008)
• Watershed Wellness LLC
• Miranda Lee Weaver, LPC
• Angela Dee Wells
• Meghan Joyce Weltman, MPAS

• Optometrist in Grove City, PA
• Providers in Grove City, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.