| Pelham Parkway Vision Center Inc | |
|
731 Lydig Ave, Bronx, NY 10462-2103 | |
| (718) 829-2160 | |
| (718) 829-9502 |
| Full Name | Pelham Parkway Vision Center Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist - Vision Therapy |
| Location | 731 Lydig Ave, Bronx, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740402205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WV0400X | Optometrist - Vision Therapy | 006388 (New York) | Primary |
| Provider Name | Oleg Lisitsyn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811948052 PECOS PAC ID: 3678460334 Enrollment ID: I20040228000145 |
| Provider Name | Diana Ilyasova |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629302658 PECOS PAC ID: 1658413752 Enrollment ID: I20100128000221 |
| Provider Name | Inna Ilyasova |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225708944 PECOS PAC ID: 0244628014 Enrollment ID: I20211201000162 |
| Mailing Address | Practice Location Address |
|---|---|
| Pelham Parkway Vision Center Inc 735 Lydig Ave, Bronx, NY 10462-2103 Ph: (718) 829-2160 | Pelham Parkway Vision Center Inc 731 Lydig Ave, Bronx, NY 10462-2103 Ph: (718) 829-2160 |
Ms. Deborah Esposito, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 26 Holly Pl, Bronx, NY 10465 Phone: 917-217-6935 | |
Clear View Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 707 Burke Ave, Bronx, NY 10467 Phone: 718-547-1600 | |
Vision Quest Bronx Optometrist Medicare: Not Enrolled in Medicare Practice Location: 905 White Plains Rd, Bronx, NY 10473 Phone: 718-239-9389 | |
Creston Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2169 White Plains Rd, Bronx, NY 10462 Phone: 718-409-2200 | |
Pro Optics Corp Optometrist Medicare: Medicare Enrolled Practice Location: 2483 Grand Concourse, Bronx, NY 10468 Phone: 718-933-0187 | |
Fordham Vision Center Ny Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1 E Fordham Rd, Bronx, NY 10468 Phone: 718-733-6700 Fax: 718-733-2756 | |
Veronica Moore-stoll, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3130 Grand Concourse Ste B6, Bronx, NY 10458 Phone: 718-741-3200 |