VISTASITE OPTIQUE INC NPI 1578052791

NPI Information

  • NPI: 1578052791
  • Provider Name: VISTASITE OPTIQUE INC
  • Classification: Clinic/Center - 261QS0132X
  • Specialization: Ophthalmologic Surgery
  • Entity Type: Organization
  • Doing Business As: VISTASITE
  • Address: 4204 BROADWAY
    NEW YORK, NY
    ZIP 10033
  • Phone: (917) 261-6100

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NPI Details

VISTASITE OPTIQUE INC is an ophthalmologic surgery clinic center in New York, NY. VISTASITE OPTIQUE INC NPI is 1578052791. The provider is registered as an organization entity type.
The provider Is Doing Business As Vistasite.

The provider's business location address is:

4204 BROADWAY
NEW YORK, NY
ZIP 10033-706
Phone: (917) 261-6100
Fax: (917) 861-6697

The provider's authorized official is Vladimir Dvoretsky .
The authorized official title is Od and has the following contact phone number (212) 433-0136.

The enumeration date for this NPI number is 5/2/2018 and was last updated on 3/15/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS0132XClinic/CenterOphthalmologic SurgeryYes

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: 11/21/2025

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