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SUSANNA VAYSTUB OD
NPI 1932149739
Optometrist in Bronx, NY

Active since June 08, 2006PECOS Enrolled
219 W 231ST ST, BRONX, NY 10463(718) 543-8066 Get Directions Write a Review

NPPES record last updated: May 7, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susanna Vaystub Od NPPES

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

SUSANNA VAYSTUB OD (NPI 1932149739) is an individual optometrist in Bronx, New York, licensed in New York (006447) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2001).

NPPES Registry Identity

NPI1932149739
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSUSANNA VAYSTUBCredential: OD
Location Address219 W 231ST STBronx, NY 10463-5301
Mailing Address219 W 231st StBronx, NY 10463-5301 · (718) 543-8066
Phone(718) 543-8066
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2001
Enumeration DateJune 8, 2006
Last NPPES UpdateMay 7, 2008
✔ NPI 1932149739 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 · 006447
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.
219 W 231ST ST, Bronx, NY 10463
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Other Identifiers 3

Medicaid02717311NY
Medicare PINC405D1NY
Medicare UPINV06158NY

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susanna Vaystub Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527090489
PECOS Enrollment IDI20050831000704
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
43 services43 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10463 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

RIVERDALE OPTOMETRY
Optometrist
219 W 231ST ST
BRONX, NY 10463
Bronx County (718) 543-8066

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 Susanna Vaystub's NPI number?

The NPI number for Susanna Vaystub is 1932149739. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Susanna Vaystub located?

Susanna Vaystub practices at 219 W 231st St, Bronx, NY 10463. The listed phone number is (718) 543-8066.

What is Susanna Vaystub's specialty?

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

Is Susanna Vaystub enrolled in Medicare?

Yes. Susanna Vaystub is registered in the Medicare PECOS enrollment system.

What insurance does Susanna Vaystub accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Susanna Vaystub 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 Susanna Vaystub was last updated on May 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.