QUEENS VISTASITE EYECARE INC. (NPI# 1659924397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659924397 |
| Entity Type | Organization |
| Organization Name | QUEENS VISTASITE EYECARE INC. |
| Practice Address |
9119 Queens Blvd Elmhurst NY 11373-5531 |
| Practice Telephone | 9294870808 |
| Practice Fax Number | 9294870809 |
| Mailing Telephone | 9294870808 |
| Mailing Fax Number | 9294870809 |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-22 |
| Authorized Official Name | DR. OLEG LISITSYN (OPTOMETRIST) |
| Authorized Official Telephone | 9294870808 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | QUEENS VISTASITE EYECARE INC | 571a White Plains Rd, Eastchester, Ny 10709 |
| Street Address |
9119 QUEENS BLVD |
| City | ELMHURST |
| State | NY |
| Zip Code | 11373-5531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740600568 | Kamna Gupta | Family Medicine | 9119 Queens Blvd, Elmhurst, NY 11373-5531 | 2014-04-19 |
| 1225513153 | City Medical of Upper East Side, Pllc | Clinic/Center | 9119 Queens Blvd, Elmhurst, NY 11373-5531 | 2018-09-26 |
| 1063832467 | Elisheva Rubinova | Family Medicine | 9119 Queens Blvd, Elmhurst, NY 11373 | 2014-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152736 | Carlos Eduardo Hallo Carrasco | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, 10, C 10-19a, Elmhurst, NY 11373 | 2020-07-30 |
| 1912524034 | Jurian Feygen Kaunang | Student in an Organized Health Care Education/Training Program | Bronx-lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 11373 | 2020-07-06 |
| 1407471352 | Shreeya Parajull | Student in an Organized Health Care Education/Training Program | 79-01 Broadway Elmhurst Hospital Center:, Room A7-34, Elmhurst, NY 11373 | 2020-06-16 |
| 1114542479 | Mahmud Omar Elfituri | Student in an Organized Health Care Education/Training Program | 79-01 Boradway, Elmhurst, NY 11373 | 2020-06-12 |
| 1568091452 | Nudjarin Unsin | Licensed Practical Nurse | 7517 41stave, Apt.f3, Elmhurst, NY 11373 | 2020-04-03 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1821647926 | Shahorin Monzoor | Student in an Organized Health Care Education/Training Program | 81 14 Queens Boulavard, 1st Floor, Elmhurst, NY 11373 | 2019-09-11 |
| 1174184600 | Zoila Josefina Cano Rodriguez | Student in an Organized Health Care Education/Training Program | 7802 41st Ave, Elmhurst, NY 11373 | 2019-06-25 |
| 1891355756 | Kanghee Cho | Registered Nurse | 4143 77th St Elmhurst, Elmhurst, NY 11373 | 2019-06-13 |
| 1861971947 | Allen G Luke | Acupuncturist | 86-21 53 Ave, Elmhurst, NY 11373 | 2018-08-09 |
| Find all providers in zip 11373 | ||||
| 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 |
|---|---|---|---|---|
| 1407402928 | Myeyedr Optometry of Illinois, LLC | Optometrist | 210 N York St Ste 102, Elmhurst, IL 60126-2706 | 2019-08-12 |
| 1750876298 | Stellar Vision Optometry, P.C. | Optometrist | 8518 Queens Blvd Fl 1, Elmhurst, NY 11373-4249 | 2018-06-27 |
| 1487161196 | Dr. Chen Optometry P.C. | Optometrist | 8327 Broadway, Elmhurst, NY 11373 | 2018-01-03 |
| 1710439633 | Theresa Pulickal | Optometrist | 344 E Huntington Ln, Elmhurst, IL 60126-3625 | 2016-10-26 |
| 1689069486 | Industrial Optical Service, Inc | Optometrist | 138 N York St, Elmhurst, IL 60126-2806 | 2015-03-30 |
| 1790190080 | Orysya Protas | Optometrist | 40-60 Elbertson St., Apt. 3 D, Elmhurst, NY 11373 | 2014-06-25 |
| 1487958526 | Elmhurst Optometry Corp | Optometrist | 4004 Case St, Elmhurst, NY 11373-1534 | 2011-01-04 |
| 1104139872 | Dr. Lucia Patino, Optometrist, P.C. | Optometrist | 4007 82nd St, Elmhurst, NY 11373-1304 | 2010-07-22 |
| 1326217894 | Naheed Kauser Malik | Optometrist | 8633 Broadway, East West Opticians, Elmhurst, NY 11373 | 2008-02-28 |
| 1194928721 | Linda Marie Bertschuk | Optometrist | 9259 59th Ave, Elmhurst, NY 11373-5018 | 2007-06-10 |
| Find all providers in ELMHURST | ||||
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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.