Organization
BRONX VISTASITE EYECARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLEG LISITYSN OD (OPTOMETRIST)
(718) 324-2020
Entity
Organization
Contact information
Practice address
2204 BARTOW AVE, BRONX, NY 10475-4616
(718) 324-2020
(347) 843-0443
Mailing address
2100 BARTON AVE # 204, BRONX, NY 10475
(917) 699-5876
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03010524
—
NY
Enumeration date
04/26/2010
Last updated
11/01/2023
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