Provider Demographics
NPI:1063210052
Name:VISTASITE HAMILTON CORP
Entity type:Organization
Organization Name:VISTASITE HAMILTON CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALER
Authorized Official - Prefix:
Authorized Official - First Name:YEZENIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAPATA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-324-4207
Mailing Address - Street 1:3582 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031-3201
Mailing Address - Country:US
Mailing Address - Phone:212-234-2020
Mailing Address - Fax:212-234-4609
Practice Address - Street 1:3582 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10031-3201
Practice Address - Country:US
Practice Address - Phone:212-234-2020
Practice Address - Fax:212-234-4609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-05
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty