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PELHAM PARKWAY VISION CENTER INC NPI 1740402205


NPI Information

NPI: 1740402205
Provider Name: PELHAM PARKWAY VISION CENTER INC
Classification: Optometrist - 152WV0400X
Entity Type: Organization

Specialization: Vision Therapy

Address:
731 LYDIG AVE
BRONX, NY
ZIP 10462
Phone: (718) 829-2160
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PELHAM PARKWAY VISION CENTER INC is a vision therapy optometrist in Bronx, NY. The provider is 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. PELHAM PARKWAY VISION CENTER INC NPI is 1740402205. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

731 LYDIG AVE
BRONX, NY
ZIP 10462-103
Phone: (718) 829-2160
Fax: (718) 829-9502

The provider's authorized official is Oleg Lisitsyn .
The authorized official title is Part Owner and has the following contact phone number (718) 829-2160.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 4/14/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WV0400XOptometristVision Therapy006388NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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