Pelham Parkway Vision Center Inc
NPI 1740402205ActiveOrganization· Optometrist, Vision Therapy· Bronx, NY
Optometrist, Vision Therapy in Bronx, New York, registered in NPPES in May 2007. The authorized official on file is Oleg Lisitsyn, OD, Part Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1740402205 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 3, 2007 |
| Last updated in NPPES | Apr 14, 2021 |
| Certified by provider | Apr 14, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist, Vision Therapy Primary | 152WV0400X | 006388 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
Other Optometrist, Vision Therapy providers in Bronx
- 1265106496
- 1003041039
- 1538603626