Oleg Lisitsyn is a Bronx, New York based male Optometrist with 23 years of experience in Optometry. He completed his graduation from State University Of New York - State College Optometry in 2001. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Oleg Lisitsyn is 006388 for Optometry in New York. Oleg Lisitsyn 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Oleg Lisitsyn speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
23+ years
Medical School Attended:
State University Of New York - State College Optometry
Graduation Year:
2001
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
731 Lydig Ave, Bronx, New York, 10462-2103
Phone:
718-829-2160
Fax:
718-829-9502
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3678460334
Enrollment ID:
I20040228000145
NPI Number:
1811948052
NPI Enumeration Date:
12 May, 2006
NPI Last Update On:
06 Apr, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Oleg Lisitsyn are as mentioned below.
License Number
Specialization
State
Status
006388
Optometry
New York
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Oleg Lisitsyn has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Bronx Vistasite Eyecare Inc (7315129210)
4
Pelham Parkway Vision Center Inc (6305938218)
2
Queens Vistasite Eyecare Inc (3779814983)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Oleg Lisitsyn such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7894651
Other
New York
AETNA PPO
12291667
Other
New York
12291667
9681151
Other
New York
GHI
02207129
Medicaid
New York
3693940
Other
New York
AETNA
52917
Other
New York
DAVIS VISION
P2806825
Other
New York
OXFORD
204824P
Other
New York
HIP
2420108
Other
New York
UNITED HEATHCARE
4C8453
Other
New York
HEALTH NET
8127719
Other
New York
CIGNA
C172A1
Other
New York
BLUE CROSS/BLUE SHIELD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
25 Rome Ave, Staten Island, New York
Zip:
10304-4317
Phone Number:
718-442-1981
Fax Number:
718-265-9219
Patients can reach Oleg Lisitsyn at 731 Lydig Ave, Bronx, New York or can call to book an appointment on 718-829-2160. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.