| NPI | 1144878778 |
|---|---|
| Former Legal Business Name | VISTA ON 3RD INC. |
| Entity Type | Organization |
| Authorized Contact | ROSTISLAV RYVKIN Doctor/ Owner 718-585-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2023-01-24 |