Individual provider Active NPI

Lisa Parkins, OD

  • Optometrist
  • Saint Petersburg, FL
National Provider Identifier
1083231278
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5830 Issued in FL
Practice address
2109 66TH St N
Saint Petersburg, FL 33710-4711
Phone
(727) 342-5226
NPI assigned
Jul 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5830 FL Primary

Addresses

Primary practice location

2109 66TH St N
Saint Petersburg, FL 33710-4711

Mailing address

2109 66TH St N
Saint Petersburg, FL 33710-4711
Phone (727) 342-5226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200810000664 FL Practitioner - Optometry 4880019728 Reassigns benefits to 1 organization
I20241113003637 AZ Practitioner - Optometry 4880019728 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyes on Queen Creek, PLLCGroup PAC ID 2264950252, 3 clinicians
Teresa Lam OD PLLCGroup PAC ID 1951703917, 2 clinicians

Practice addresses (Care Compare)

20260 S Ellsworth Rd
Queen Creek, AZ 85142-8840
Phone (480) 847-1015

2040 S Alma School Rd
Suite 23
Chandler, AZ 85286-7077
Phone (520) 401-4711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Optometry, PA CurrentSince Aug 11, 2020 Accepting new patients
Teresa Lam OD PLLC Optometrist CurrentSince Nov 5, 2024 Accepting new patients
Eyes on Queen Creek PLLC Optometrist CurrentSince Jun 9, 2025 Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients
Eyeglass World PastSince Jul 5, 2020 Accepting new patients

Locations

2040 S Alma School Rd
Ste 23
Chandler, AZ 85286
Phone (480) 573-0671

20260 S Ellsworth Rd
Queen Creek, AZ 85142
Phone (480) 847-1010

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

4001 1st St E
Bradenton, FL 34208
Phone (941) 745-9800

2660 Gulf To Bay Blvd
Clearwater, FL 33759
Phone (727) 683-7207

4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217

2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937

3345 S Congress Ave
Palm Springs, FL 33461
Phone (561) 964-0220

77 N Cattlemen Rd
Sarasota, FL 34243
Phone (941) 893-6109

2109 66th St N
St Petersburg, FL 33710
Phone (727) 342-5226

3520 4th St N
St Petersburg, FL 33704
Phone (727) 369-0043

1531 S Dale Mabry Hwy
Tampa, FL 33629
Phone (605) 760-1018

10224 E Adamo Dr
Tampa, FL 33619
Phone (813) 315-9898

1725 W Mlk Blvd
Tampa, FL 33607
Phone (239) 800-1717

27835 Wesley Chapel Blvd
Ste 110
Wesley Chapel, FL 33544
Phone (813) 907-9122

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1593734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1083231278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 66TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337104711",
            "telephone_number": "727-342-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 66TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337104711",
            "telephone_number": "727-342-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKINS",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-03",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

Verify at the official NPI Registry.