DR. ROBERT ANDREW VITITOW O.D. NPI 1033209192

NPI Information

NPI: 1033209192
Provider Name: DR. ROBERT ANDREW VITITOW, O.D.
Classification: Optometrist - 152WC0802X
Entity Type: Individual

Specialization: Corneal and Contact Management

PECOS Registration: Yes

Address:
2441 VESTAL PARKWAY EAST
SAM'S CLUB
VESTAL, NY
ZIP 13850
Phone: (607) 770-6297
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DR. Robert Andrew Vititow, O.D. is a corneal and contact management optometrist in Vestal, NY. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. DR. Robert Andrew Vititow, O.D. NPI is 1033209192. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2441 VESTAL PARKWAY EAST
SAM'S CLUB
VESTAL, NY
ZIP 13850-018
Phone: (607) 770-6297
Fax: (607) 766-8592

The NPI 1033209192 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 10/12/2006 and was last updated on 3/17/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152WC0802X	Optometrist	Corneal and Contact Management	VUT006050	NEW YORK	No
2	152WC0802X	Optometrist	Corneal and Contact Management	TUV006050	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000127034	OTHER	NEW YORK	BLUE CROSS BLUE SHIELD
2	V07976	MEDICARE UPIN
3	40910	OTHER	NEW YORK	SPECTERA
4	93653	OTHER	NEW YORK	DAVIS VISION
5	IA0894	MEDICARE PIN

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

NPI Synchronization or Removal

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