Organization Active NPI

Vistasite Vision Center Inc.

  • Optometrist
  • New York, NY
National Provider Identifier
1831841691
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISTASITE VISION CENTER INC.
Practice address
665 W 181St Strett
New York, NY 10033
Phone
(212) 927-1000
Fax
(212) 927-6336
NPI assigned
Jan 24, 2022
Last updated
Jul 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Authorized official

Name
Yezenia Zapata
Title
Credentialer / Biller
Phone
(718) 324-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

665 W 181St Strett
New York, NY 10033

Mailing address

665 W 181St Strett
New York, NY 10033
Phone (212) 927-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220222001475 NY Part B Supplier - Clinic/Group Practice 2062806839 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

665 W 181st St
New York, NY 10033
Phone (212) 927-1000

Practitioners & affiliated clinicians

Practitioners 3

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": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1831841691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 W 181ST STRETT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10033",
            "telephone_number": "212-927-1000",
            "fax_number": "212-927-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 W 181ST STRETT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10033",
            "telephone_number": "212-927-1000",
            "fax_number": "212-927-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTASITE VISION CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "ZAPATA",
        "authorized_official_first_name": "YEZENIA",
        "authorized_official_title_or_position": "CREDENTIALER / BILLER",
        "authorized_official_telephone_number": "718-324-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.