SUCCESSFUL VISION CORP
NPI 1730617614
Optometrist in Pelham, NY

Q: What is Successful Vision Corp's NPI number?

The NPI number for Successful Vision Corp is 1730617614. It was assigned to this organization in the NPPES registry on May 23, 2017.

Q: What is Successful Vision Corp's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since May 23, 2017

106 FIFTH AVE, PELHAM, NY 10803(914) 235-5068(914) 636-1317 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 22, 2026, May 23, 2017 (2 updates tracked since 2017).

On this page

About Successful Vision Corp NPPES

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

SUCCESSFUL VISION CORP (NPI 1730617614) is a healthcare organization registered as an optometrist in Pelham, New York and active in the NPI registry since May 2017. The organization lists Francis Raymond Depaolo, Manager, as its authorized official.

NPPES Registry Identity

NPI1730617614

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameSUCCESSFUL VISION CORP

Location Address106 FIFTH AVEPelham, NY 10803-1504

Mailing Address106 Fifth AvePelham, NY 10803-1504 · (914) 235-5068 · Fax (914) 636-1317

Phone(914) 235-5068

Fax(914) 636-1317

Organization SubpartNo

Authorized OfficialFrancis Raymond DepaoloManager · (914) 235-5068

Enumeration DateMay 23, 2017

Last NPPES UpdateApril 22, 20262 updates tracked since enumeration

NPPES CertifiedApril 22, 2026

✔ NPI 1730617614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in NY · 184913

Definition

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.

106 FIFTH AVE, Pelham, NY 10803

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Successful Vision Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Successful Vision Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Reyna Betances, OD

Optometry

NPI 1750955779

150 55TH ST
Brooklyn, NY 11220

(718) 630-7000

✔ PECOS21 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Successful Vision Corp's NPI number?

The NPI number for Successful Vision Corp is 1730617614. It was assigned to this organization in the NPPES registry on May 23, 2017.

Where is Successful Vision Corp located?

Successful Vision Corp is located at 106 Fifth Ave, Pelham, NY 10803. The listed phone number is (914) 235-5068.

What is Successful Vision Corp's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Successful Vision Corp enrolled in Medicare?

Yes. Successful Vision Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Successful Vision Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Successful Vision Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Successful Vision Corp accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Oscar Health list Successful Vision Corp 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 Successful Vision Corp was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.