Organization
VISTA OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER S SCWHARTZ MD (OPTHALMOLOGIST)
(607) 266-7600
Entity
Organization
Contact information
Practice address
2333 N TRIPHAMMER RD, STE 403, ITHACA, NY 14850-1075
(607) 266-7600
(607) 266-7601
Mailing address
2333 N TRIPHAMMER RD, STE 403, ITHACA, NY 14850-1082
(607) 266-7600
(607) 266-7601
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01679547
—
NY
Enumeration date
04/11/2007
Last updated
07/21/2022
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