| NPI | 1548132285 |
|---|---|
| Former Legal Business Name | VISTASITE EYE GROUP INC |
| Entity Type | Organization |
| Authorized Contact | JESSIE ZAPATA Credentialer 347-324-4207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2025-09-22 |
| Last Update Date | 2025-11-12 |