Lisa Ann McKim, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 4506 Issued in FL

Practice address

1707 W 23Rd St
Panama City, FL 32405-2916

Phone

(850) 769-4747

NPI assigned

Jan 7, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain View Vision PCGroup PAC ID 9830282797, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• CO HMO
• NM HMO C-SNP
• CO HMO D-SNP
• devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mountain View Vision, PC

  • Optometrist
  • Colorado Springs, CO
  • NPI 1942408737
  Medicare reassignment Care Compare group NPD
• Chapel Hills Vision P C

  • Optometrist
  • Colorado Springs, CO
  • NPI 1639164973
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1013192350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4417 RAPTOR CIR",
            "city": "TYNDALL AFB",
            "state": "FL",
            "postal_code": "324031063",
            "telephone_number": "813-777-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 W 23RD ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052916",
            "telephone_number": "850-769-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIM",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia McKendree
• Amber McKenzie, ARNP
• Anlaura McKenzie, RN
• Annie Ruth McKenzie
• William Tony McKenzie, M.D.
• Marc R McKinley, D.O.
• Monica R McKlemurry
• Michael McLaughlin, MSW
• Cara L McLean, ITDS
• Lindsay Grace McLellan

• Optometrist in Panama City, FL
• Providers in Panama City, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.