Individual provider Active NPI

Lisa Chen, OD

  • Optometrist
  • Peachtree Corners, GA
National Provider Identifier
1053929141
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003265 Issued in GA
Practice address
5155 Peachtree Pkwy Ste 300
Peachtree Corners, GA 30092-2526
Phone
(470) 384-7538
Fax
(678) 606-3437
NPI assigned
Jul 15, 2020
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003265 GA Primary

Addresses

Primary practice location

5155 Peachtree Pkwy Ste 300
Peachtree Corners, GA 30092-2526

Mailing address

5155 Peachtree Pkwy Ste 300
Peachtree Corners, GA 30092-2526
Phone (470) 384-7538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OPT003265GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Perimeter Vision Care, LLC Optometrist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1053929141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 PEACHTREE PKWY STE 300",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922526",
            "telephone_number": "470-384-7538",
            "fax_number": "678-606-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 PEACHTREE PKWY STE 300",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922526",
            "telephone_number": "470-384-7538",
            "fax_number": "678-606-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "LISA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree Corners, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.