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VISTA OPTOMETRY LLC NPI 1609061019


NPI Information

NPI: 1609061019
Provider Name: VISTA OPTOMETRY, LLC

Doing Business As: WISE OPTICAL

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
15 PINE GROVE SQ
GROVE CITY, PA
ZIP 16127
Phone: (724) 458-0333
Get Directions

VISTA OPTOMETRY, LLC is an optometrist in Grove City, PA. The provider is 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. VISTA OPTOMETRY, LLC NPI is 1609061019. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Wise Optical.

The provider's business location address is:

15 PINE GROVE SQ
GROVE CITY, PA
ZIP 16127-447
Phone: (724) 458-0333
Fax: (724) 458-0335

The provider's authorized official is Menelaos Liulias .
The authorized official title is Owner/managing Member and has the following contact phone number (724) 612-3711.

The enumeration date for this NPI number is 9/10/2007 and was last updated on 2/6/2014.


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
1152W00000XOptometrist5728OHIONo
2152W00000XOptometristT2642OHIONo
3152WC0802XOptometristCorneal and Contact ManagementOEG001284PENNSYLVANIANo
4152WX0102XOptometristOccupational VisionOEG001284PENNSYLVANIANo
5152W00000XOptometristOEG001284PENNSYLVANIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11138132OTHERPENNSYLVANIAHEALTH AMERICA
21982534OTHERPENNSYLVANIAHIGHMARK BC/BS
3TBDMEDICAIDPENNSYLVANIA
4400553OTHERPENNSYLVANIAUPMC HEALTH PLAN
5U86664MEDICARE UPINPENNSYLVANIA

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: 11/14/2023

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