Lisa Lynn Dolezel

Primary specialty

OpticianTaxonomy code 156FX1800X

License

007233-1 Issued in NY

Practice address

1 Associate Dr
Oneonta, NY 13820-2266

Phone

(607) 433-6344

Fax

(607) 433-6331

NPI assigned

Aug 31, 2010

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

Other names 1

• Mrs. Lisa Lynn Lund Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1063728889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ASSOCIATE DR",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202266",
            "telephone_number": "607-433-6344",
            "fax_number": "607-433-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ASSOCIATE DR",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202266",
            "telephone_number": "607-433-6344",
            "fax_number": "607-433-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLEZEL",
        "first_name": "LISA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "007233-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "LUND",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tonya Ashley Demulder, LCSW-R
• Lisa Linakis Depperman, RN
• Diane M Georgeson MD PC
• Julie Ann Dirig, PA
• Luann Lynn Dix, DPT, CLT
• Caroline L Donlon, FNP-C
• Timothy C Donovan, MSW LCSW-R ACSW DCSW
• Eda Wheeler Dorosky, REGISTERED NURSE
• John Dorr, FNP
• Jessica Jane Dorritie, OTR/L

• Optician in Oneonta, NY
• Providers in Oneonta, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.