Susanna Vaystub, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

006447 Issued in NY

Practice address

219 W 231St St
Bronx, NY 10463-5301

Phone

(718) 543-8066

NPI assigned

Jun 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Riverdale Optometry

  • Optometrist
  • Bronx, NY
  • NPI 1487852612
  NPD (past) Authorized official

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1932149739",
    "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": {
        "last_name": "VAYSTUB",
        "first_name": "SUSANNA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "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": []
}

• Sumayya Vawda, MD
• Rebecca Mary Vayalumkal, PHARMD
• Maria Lydia Vayas, PSY.D
• Allen Vaynblat, MD
• Yelena Vayner
• Vaz Medical & Industrial Safety Inc.
• Jade Vazquetelles
• Jose Manuel Vazquez Cruz, NP
• Ariel Vazquez
• Brenda Vazquez, LMSW

• 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 May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.