VIVID VISION OPTOMETRY PLLC (NPI# 1003368192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003368192 |
| Entity Type | Organization |
| Organization Name | VIVID VISION OPTOMETRY PLLC |
| Practice Address |
500 E Sandford Blvd Mount Vernon NY 10550-4750 |
| Mailing Address |
225 E 95th St 16e New York NY 10128-4000 |
| Practice Telephone | 9142974337 |
| Mailing Telephone | 6469428022 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2019-08-15 |
| Authorized Official Name | DR. ISADORA RITTER (DOCTOR OF OPTOMETRY) |
| Authorized Official Telephone | 6469428022 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 007773 | NY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03382712 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427604610 | Vivid Vision Optometry Pllc | Optometrist | 4626 White Plains Rd, Bronx, NY 10470-1610 | 2019-08-13 |
| Street Address |
500 E SANDFORD BLVD |
| City | MOUNT VERNON |
| State | NY |
| Zip Code | 10550-4750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295757847 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 500 E Sandford Blvd, Mount Vernon, NY 10550-4750 | 2006-07-24 |
| 1437602869 | Stephanie Henriques | Pharmacist | 500 E Sandford Blvd, Mount Vernon, NY 10550-4750 | 2016-08-02 |
| 1750749511 | Thuya Maung | Pharmacist | 500 E Sandford Blvd, Mount Vernon, NY 10550-4750 | 2016-02-08 |
| 1558708388 | Marshal Dwain Carter | Pharmacist | 500 E Sandford Blvd, Mount Vernon, NY 10550-4750 | 2013-06-03 |
| 1487950424 | Deidre S Palmer | Pharmacist | 500 E Sandford Blvd, Mount Vernon, NY 10550-4785 | 2011-02-09 |
| 1275856635 | Konstantina Passalaris Varsou | Pharmacist | 500 E Sandford Blvd, Mount Vernon, NY 10550-4750 | 2010-03-12 |
| 1255505921 | Meghan Tyrrel | Pharmacist | 500 E Sandford Blvd, Mount Vernon, NY 10550-4750 | 2008-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487240 | Jacqueline Marshall | Technician | 144 South 2nd Avenue 2c, Mount Vernon, West Chester, NY 10550 | 2020-05-05 |
| 1023529369 | B.t.m. Psychiatric Np Services, Pllc | Nurse Practitioner | 11 W Prospect Ave, 3rd Fl, Suite #5b, Mount Vernon, NY 10550 | 2017-10-13 |
| 1669994174 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 500 E Sanford Blvd, Mount Vernon, NY 10550 | 2017-07-17 |
| 1053869198 | Teresa Turriago I | Social Worker | 487 S. Broadway, Yonkers, New York, NY 10550 | 2016-09-19 |
| 1811340862 | Marcia Samuels Nembhard | Licensed Practical Nurse | 1 Gray Place Apt 4-d, Mount Vernon, NY 10550 | 2016-07-14 |
| 1043665318 | Marshalee Mullings | Registered Nurse | 70 E 4th Street, 2c, Mount Vernon, NY 10550 | 2016-04-25 |
| 1518333228 | Humanities Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 100 Stevens Avenue, Mount Vernon, NY 10550 | 2015-08-17 |
| 1851779458 | Maila Catolico | Registered Nurse | 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 | 2015-05-14 |
| 1003203266 | Priscilla A. Severe | Registered Nurse | 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 | 2015-04-24 |
| 1477963254 | Imani Ife Campbell | Licensed Practical Nurse | 323 South 10th Ave, Mt. Vernon, NY 10550 | 2014-05-02 |
| Find all providers in zip 10550 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417236803 | Amanda Montgomery | Optometrist | 812 Coshocton Ave # 3, Mount Vernon, OH 43050-1947 | 2011-08-16 |
| 1679742183 | Illinois Express Vision Center, Mattoon Inc | Optometrist | 3917 Broadway St, Times Square Mall, Mount Vernon, IL 62864-2290 | 2008-02-28 |
| 1982898375 | Clarkson Optometry Illinois PC | Optometrist | 3000 Broadway St, Mount Vernon, IL 62864-2340 | 2007-08-29 |
| 1679629521 | James Laurence Edick | Optometrist | 5 W High St, Mount Vernon, OH 43050-3282 | 2007-01-25 |
| 1518014737 | Neil Scott Eberhardt | Optometrist | 1427 N Laventure Rd, Mount Vernon, WA 98273-2765 | 2007-01-03 |
| 1538223417 | David W Wineland | Optometrist | 110 Coshocton Ave, Mount Vernon, OH 43050-2628 | 2006-12-21 |
| 1235200429 | Tod W Jones | Optometrist | 1616 N 18th St Ste 104, Mount Vernon, WA 98273-2600 | 2006-11-11 |
| 1609957885 | Mount Vernon Eyecare Associates, LLC | Optometrist | 104 S Hickory, Mount Vernon, MO 65712 | 2006-10-17 |
| 1043304710 | Percav, Inc | Optometrist | 112 S 42nd Street, Mount Vernon, IL 62864 | 2006-10-03 |
| 1538278445 | Terry G. Cook | Optometrist | 4200 Ilberry Rd, Mount Vernon, IL 62864-6748 | 2006-08-30 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 10550 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.