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VISTASITE
NPI 1578052791
Clinic/Center - Ophthalmologic Surgery in New York, NY

Active since May 02, 2018
4204 BROADWAY, NEW YORK, NY 10033(917) 261-6100(917) 861-6697 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 15, 2021, May 2, 2018 (2 updates tracked since 2018).

About Vistasite NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VISTASITE (NPI 1578052791) is a healthcare organization registered as an ophthalmologic surgery in New York, New York and active in the NPI registry since May 2018. The organization lists Vladimir Dvoretsky, Od, as its authorized official.

NPPES Registry Identity

NPI1578052791
Entity TypeOrganization
Primary Taxonomy261QS0132X
Legal Business NameVISTASITE OPTIQUE INC
Location Address4204 BROADWAYNew York, NY 10033-3706
Mailing Address4204 BroadwayNew York, NY 10033-3706 · (917) 261-6100 · Fax (917) 861-6697
Phone(917) 261-6100
Fax(917) 861-6697
Organization SubpartNo
Authorized OfficialVladimir DvoretskyOd · (212) 433-0136
Enumeration DateMay 2, 2018
Last NPPES UpdateMarch 15, 20212 updates tracked since enumeration
NPPES CertifiedMarch 15, 2021
✔ NPI 1578052791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ophthalmologic SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0132X
4204 BROADWAY, New York, NY 10033
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Other Names 1

Doing Business AsVistasite

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARTIN ALEX MUNDACKAL OD
Optometrist
4204 BROADWAY
NEW YORK, NY 10033
New York County (917) 920-2636

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vistasite Optique Inc's NPI number?

The NPI number for Vistasite Optique Inc is 1578052791. It was assigned to this organization in the NPPES registry on May 2, 2018. The provider is doing business as Vistasite.

Where is Vistasite Optique Inc located?

Vistasite Optique Inc is located at 4204 Broadway, New York, NY 10033. The listed phone number is (917) 261-6100.

What is Vistasite Optique Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ophthalmologic Surgery, with taxonomy code 261QS0132X.

What insurance does Vistasite Optique Inc accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Vistasite Optique Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vistasite Optique Inc was last updated on March 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.