NPIMap

Organization Active NPI

Bronx Vista Inc

  • Optometrist
  • Bronx, NY
National Provider Identifier
1689044067
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
006388 Issued in NY
Legal business name
BRONX VISTA INC
Practice address
457 E 149TH St
Bronx, NY 10455-1314
Phone
(718) 292-2020
Fax
(718) 585-1285
NPI assigned
Sep 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Authorized official

Name
Mr. Oleg Lisitsyn, ODNPI 1811948052
Title
Owner
Phone
(718) 292-2002

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 006388 NY Primary

Addresses

Primary practice location

457 E 149TH St
Bronx, NY 10455-1314

Mailing address

455 E 149TH Street
Bronx, NY 10455-1314
Phone (718) 292-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160105001409 NY Part B Supplier - Clinic/Group Practice 3971805151 Receives reassigned benefits from 10 practitioners
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

455 E 149th St
Bronx, NY 10455
Phone (718) 292-2002

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1689044067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E 149TH STREET",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551314",
            "telephone_number": "718-292-2020",
            "fax_number": "718-585-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551314",
            "telephone_number": "718-292-2020",
            "fax_number": "718-585-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX VISTA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "LISITSYN",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-292-2002",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.