| Oleg Lisitsyn, OD | |
|
731 Lydig Ave, Bronx, NY 10462-2103 | |
| (718) 829-2160 | |
| (718) 829-9502 |
| Full Name | Oleg Lisitsyn |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 24 Years |
| Location | 731 Lydig Ave, Bronx, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811948052 | NPI | - | NPPES |
| 7894651 | Other | NY | AETNA PPO |
| 12291667 | Other | NY | 12291667 |
| 9681151 | Other | NY | GHI |
| 02207129 | Medicaid | NY | |
| 3693940 | Other | NY | AETNA |
| 52917 | Other | NY | DAVIS VISION |
| P2806825 | Other | NY | OXFORD |
| 204824P | Other | NY | HIP |
| 2420108 | Other | NY | UNITED HEATHCARE |
| 4C8453 | Other | NY | HEALTH NET |
| 8127719 | Other | NY | CIGNA |
| C172A1 | Other | NY | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 006388 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pelham Parkway Vision Center Inc | 6305938218 | 4 |
| Bronx Vistasite Eyecare Inc | 7315129210 | 3 |
| Provider Name | Pelham Parkway Vision Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1740402205 PECOS PAC ID: 6305938218 Enrollment ID: O20070823000445 |
| Provider Name | Bronx Vistasite Eyecare Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114244563 PECOS PAC ID: 7315129210 Enrollment ID: O20110315000041 |
| Provider Name | Bronx Vista Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689044067 PECOS PAC ID: 3971805151 Enrollment ID: O20160105001409 |
| Mailing Address | Practice Location Address |
|---|---|
| Oleg Lisitsyn, OD 25 Rome Ave, Staten Island, NY 10304-4317 Ph: (718) 442-1981 | Oleg Lisitsyn, OD 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 Of Bruckner Corp. Optometrist Medicare: Medicare Enrolled Practice Location: 905 White Plains Rd, Bronx, NY 10473 Phone: 718-239-9389 | |
Creston Opticians Inc 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: Accepting Medicare Assignments Practice Location: 3130 Grand Concourse Ste B6, Bronx, NY 10458 Phone: 718-741-3200 |