Organization
BRONX VISTA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLEG LISITSYN OD (OWNER)
(718) 292-2002
Entity
Organization
Contact information
Practice address
457 E 149TH ST, BRONX, NY 10455-1314
(718) 292-2020
(718) 585-1285
Mailing address
455 E 149TH STREET, BRONX, NY 10455-1314
(718) 292-2020
(718) 585-1285
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
006388
NY
Other
Enumeration date
09/29/2015
Last updated
02/11/2026
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