Vivid Vision Optometry Pllc

LBN: Vivid Vision Optometry Pllc
Vivid Vision Optometry Pllc is an health care organization with primary practice located at 500 E Sandford Blvd , Mount Vernon NY 10550-4750. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Vivid Vision Optometry Pllc can be contacted via phone (914) 297-4337, or through Ritter, Isadora via phone (646) 942-8022.

Contact Information

Primary practice address
500 E Sandford Blvd Mount Vernon NY 10550-4750
Phone: (914) 297-4337
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ritter, Isadora Doctor of Optometry (OD)
Phone: (646) 942-8022

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 007773 New York

Profile Details

NPI number 1003368192
LBN Legal business name Vivid Vision Optometry Pllc
DBA Doing business as
Authorized official Ritter, Isadora Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2016
Last updated Aug 15th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003368192 NPPES
New York MEDICAID 03382712

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