PELHAM PARKWAY VISION CENTER INC (NPI# 1740402205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740402205 |
| Entity Type | Organization |
| Organization Name | PELHAM PARKWAY VISION CENTER INC |
| Practice Address |
735 Lydig Ave Bronx NY 10462-2103 |
| Practice Telephone | 7188292160 |
| Practice Fax Number | 7188299502 |
| Mailing Telephone | 7188292160 |
| Mailing Fax Number | 7188299502 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2010-02-10 |
| Authorized Official Name | OLEG LISITSYN (PART OWNER) |
| Authorized Official Telephone | 7188292160 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
006388 | NY | Eye and Vision Services Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PELHAM PARKWAY VISION CENTER INC. | 571a White Plains Rd, Eastchester, Ny 10709 |
| Street Address |
735 LYDIG AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10462-2103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063768109 | Eleonora Tamayeva | Optometrist | 735 Lydig Ave, Bronx, NY 10462-2103 | 2012-07-26 |
| 1629302658 | Diana Ilyasova | Optometrist | 735 Lydig Ave, Bronx, NY 10462-2103 | 2009-09-23 |
| 1336392885 | Michael Orloff | Technician/Technologist | 735 Lydig Ave, Bronx, NY 10462-2103 | 2008-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629616198 | Ark Orthodontics Pllc | Dentist | 1332 Metropolitan Ave A/b, Bronx, NY 10462 | 2019-12-16 |
| 1568007714 | Afrah Saleh Abisse | Student in an Organized Health Care Education/Training Program | 715 Van Nest Ave Apt 2d, Bronx, NY 10462 | 2019-11-12 |
| 1255981486 | Angelica Cruz | Behavior Technician | 727 Morris Park Ave # 3653, Bronx, NY 10462 | 2019-09-19 |
| 1366907644 | Rebekah Rehab Assisted Living Program, Inc. | Assisted Living Facility | 1050 Havemeyer Ave, Bronx, NY 10462 | 2019-01-31 |
| 1598235467 | Windsor Leasing Corp. | Non-emergency Medical Transport (VAN) | 1598 Bronxdale Ave., Bronx, NY 10462 | 2018-12-04 |
| 1255807640 | Winchie Do | Pharmacist | 1660 Paulding Ave, Bronx, NY 10462 | 2018-10-23 |
| 1477033843 | Silva Stars Transportation | Non-emergency Medical Transport (VAN) | 2187 Cruger Ave, Suite 2d, Bronx, NY 10462 | 2018-08-15 |
| 1063926962 | Pelham Pkwy Professional Medical Services of New York LLC | Surgery | 2157 White Plains Rd Ste A, Bronx, NY 10462 | 2017-11-30 |
| 1972035749 | Kalor Riley | Occupational Therapy Assistant | 2165 Matthews Ave Apt2h, Bronx, NY 10462 | 2017-03-31 |
| 1992247472 | Jora Mgt, Corp | Non-emergency Medical Transport (VAN) | 1598 Bronxdale Ave, Bronx, NY 10462 | 2016-11-15 |
| Find all providers in zip 10462 | ||||
| Taxonomy Code | 152WV0400X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Vision Therapy |
| Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306250931 | Tyler Phan | Optometrist | 4487 3rd Ave Fl 6, Bronx, NY 10457-1526 | 2014-06-11 |
| 1003041039 | Deborah Esposito | Optometrist | 26 Holly Pl, Bronx, NY 10465-3812 | 2009-05-19 |
| 1538603626 | James Francis Fitzpatrick | Optometrist | 3288 Agar Pl, Bronx, NY 10465-1302 | 2016-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982267977 | Monroe Visions | Optometrist | 1 Preshburg Blvd Unit 1, Monroe, NY 10950-3066 | 2019-04-16 |
| 1548823537 | Brooklyn Optical | Optometrist | 505 Flushing Ave Ste 1c, Brooklyn, NY 11205-1688 | 2019-04-16 |
| 1124541370 | Ossining Family Optometry Pllc | Optometrist | 57 Croton Ave # 3, Ossining, NY 10562-4981 | 2017-07-19 |
| 1730552308 | The Learning and Achievement Center | Optometrist | 24 Satmar Dr, Suite 102, Monroe, NY 10950-6041 | 2015-11-04 |
| 1225391709 | Karen Hamann-casella | Optometrist | 14 Adams Cmns, Yaphank, NY 11980-2001 | 2012-06-20 |
| 1417229923 | Roslyn Village Vision Center | Optometrist | 1390 Old Northern Blvd, Roslyn, NY 11576-2127 | 2012-01-30 |
| 1659648939 | Viola Agnes Monus | Optometrist | 66 Lyons Rd, Scarsdale, NY 10583-5724 | 2011-11-30 |
| 1487938791 | Robin Basalla | Optometrist | 402 Pacific St, Apt 4, Brooklyn, NY 11217-2290 | 2011-10-05 |
| 1811281496 | Aniko Boros | Optometrist | 8 Christa Lynn Dr, Spring Valley, NY 10977-4409 | 2011-06-01 |
| 1942500616 | Harry Levi | Optometrist | 43 Avenue A, New York, NY 10009-7324 | 2010-10-28 |
| Find all providers with the same taxonomy | ||||
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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.