Matthew J Lisenby, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2792 Issued in CO

Practice address

2770 Woodgate Rd
Montrose, CO 81401-5466

Phone

(970) 249-2330

Fax

(970) 249-6131

NPI assigned

Jan 27, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Pacific University - College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vista Vision Family Eye Care LLCGroup PAC ID 6103082748, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: direct@vistavisionfamilyeyecaremontroseco.compulinkdirect.com

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

• Vista Vision Family Eye Care, LLC

  • Optometrist
  • Montrose, CO
  • NPI 1427329978
  Medicare reassignment Care Compare group NPD Authorized official
• Vista Vision Family Eye Care, LLC

  • Optometrist
  • Grand Junction, CO
  • NPI 1578823837
  NPD Authorized official

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1043516784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 WOODGATE RD",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015466",
            "telephone_number": "970-249-2330",
            "fax_number": "970-249-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 WOODGATE RD",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015466",
            "telephone_number": "970-249-2330",
            "fax_number": "970-249-6131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2545 Rimrock Ave",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815058664",
            "country_code": "US",
            "telephone_number": "970-242-9050",
            "fax_number": "970-242-0448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LISENBY",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-27",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19674244",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Linda M. Peterson, MD, PLLC
• Ashley Lindsey, RDH
• Rachel Rose Lloyd, LCSW, LAC
• Bryce Hamilton Lokey, MD
• Cindra London, PTA
• Karie S Long, PA-C
• Nichole Long, RN

• Optometrist in Montrose, CO
• Providers in Montrose, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.