Active NPI
Harlem Vistasite Eye Care Inc
- Optometrist
- New York, NY
National Provider Identifier
1942768387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- HARLEM VISTASITE EYE CARE INC
- Practice address
- 2204 Frederick Douglass Blvd
New York, NY 10026-1172 - Phone
- (646) 895-9000
- Fax
- (646) 891-0202
- NPI assigned
- Mar 5, 2019
- Last updated
- Jan 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Sidney Contreras
- Title
- Administrator
- Phone
- (917) 969-4361
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
2204 Frederick Douglass Blvd
New York, NY 10026-1172
Mailing address
2204 Frederick Douglass Blvd
New York, NY 10026-1172
Phone (917) 969-4361
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2204 Frederick Douglass Blvd
New York, NY 10026
Phone (646) 895-9000
Practitioners & affiliated clinicians
Practitioners 8
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.
-
- Optometrist
- Bronx, NY
- NPI 1033928130
-
- Optometrist
- New York, NY
- NPI 1407343494
-
- Optometrist
- Bronx, NY
- NPI 1386731974
-
- Optometrist
- New York, NY
- NPI 1497984900
-
- Optometrist
- Bronx, NY
- NPI 1831709484
-
- Optometrist
- New York, NY
- NPI 1861047649
-
- Optometrist
- Bronx, NY
- NPI 1073893855
-
- Optometrist
- Bronx, NY
- NPI 1760904130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674518400000",
"number": "1942768387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2204 FREDERICK DOUGLASS BLVD",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100261172",
"telephone_number": "917-969-4361",
"fax_number": "212-938-5831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2204 FREDERICK DOUGLASS BLVD",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100261172",
"telephone_number": "646-895-9000",
"fax_number": "646-891-0202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARLEM VISTASITE EYE CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-05",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A",
"authorized_official_last_name": "CONTRERAS",
"authorized_official_first_name": "SIDNEY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "917-969-4361",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Harlem Star Pharmacy Inc. (Harlem Community Pharmacy)
- Harlem Super Pharmacy Inc
- Harlem United Com AIDS Ctr Ai
- Harlem Vision Group Inc.
- Harlem Vision Inc.
- Nicyela Jillien Harlendea, M.D.
- Harley Street Medical, P.C.
- Jeanette Yvonne Harley, FNP-BC
- Jennifer Mireille Harley, M.D.
- Kyra Harley, M.S., CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.