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PELHAM PARKWAY VISION CENTER INC
NPI 1740402205
Optometrist - Vision Therapy in Bronx, NY

Active since May 03, 2007
731 LYDIG AVE, BRONX, NY 10462(718) 829-2160(718) 829-9502 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pelham Parkway Vision Center Inc NPPES

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

PELHAM PARKWAY VISION CENTER INC (NPI 1740402205) is a healthcare organization registered as a vision therapy in Bronx, New York and active in the NPI registry since May 2007. The organization lists Oleg Lisitsyn, Part Owner, as its authorized official.

NPPES Registry Identity

NPI1740402205
Entity TypeOrganization
Primary Taxonomy152WV0400X
Legal Business NamePELHAM PARKWAY VISION CENTER INC
Location Address731 LYDIG AVEBronx, NY 10462-2103
Mailing Address735 Lydig AveBronx, NY 10462-2103 · (718) 829-2160 · Fax (718) 829-9502
Phone(718) 829-2160
Fax(718) 829-9502
Organization SubpartNo
Authorized OfficialOleg LisitsynPart Owner · (718) 829-2160
Enumeration DateMay 3, 2007
Last NPPES UpdateApril 14, 2021
NPPES CertifiedApril 14, 2021
✔ NPI 1740402205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Vision TherapyEye and Vision Services Providers
Taxonomy Code152WV0400X
License✔ Licensed in NY · 006388
Definition
Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.
731 LYDIG AVE, Bronx, NY 10462
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.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)

Pelham Parkway Vision Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Pelham Parkway Vision Center Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Diana Ilyasova, O.D.
Optometry
NPI 1629302658
731 LYDIG AVE
Bronx, NY 10462
(718) 829-2160
✔ PECOS✔ Accepts MedicareSame address
Inna Ilyasova
Optometry
NPI 1225708944
731 LYDIG AVE
Bronx, NY 10462
(718) 829-2160
✔ PECOS✔ Accepts MedicareSame address
Oleg Lisitsyn, OD
Optometry
NPI 1811948052
731 LYDIG AVE
Bronx, NY 10462
(718) 829-2160
✔ PECOS✔ Accepts MedicareSame address
Jina Yoo, OD
Optometry
NPI 1104652668
731 LYDIG AVE
Bronx, NY 10462
(718) 829-2160
✔ PECOS✔ Accepts MedicareSame address

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 Pelham Parkway Vision Center Inc's NPI number?

The NPI number for Pelham Parkway Vision Center Inc is 1740402205. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Pelham Parkway Vision Center Inc located?

Pelham Parkway Vision Center Inc is located at 731 Lydig Ave, Bronx, NY 10462. The listed phone number is (718) 829-2160.

What is Pelham Parkway Vision Center Inc's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.

Is Pelham Parkway Vision Center Inc enrolled in Medicare?

Yes. Pelham Parkway Vision Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pelham Parkway Vision Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Pelham Parkway Vision Center Inc. 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. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pelham Parkway Vision Center Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Pelham Parkway Vision Center 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 Pelham Parkway Vision Center Inc was last updated on April 14, 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.