Lisa Chabot, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

T03129 Issued in MO

Practice address

248 S Florissant Rd
Ferguson, MO 63135-2736

Phone

(314) 522-8773

Fax

(314) 522-0228

NPI assigned

Dec 12, 2006

Last updated

Apr 20, 2015By the provider in NPPES

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 identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

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, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seibert Mobile Optometry LLCGroup PAC ID 7517242746, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.93 of 100Reported as group

Quality

76.24

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Seibert Mobile Optometry LLC

  • Optometrist
  • Jefferson City, MO
  • NPI 1679017362
  Medicare reassignment Care Compare group NPD
• Chabot Community Eye Care

  dba Mobile Eye Care Solutions

  • Mobile Radiology Clinic/Center
  • Ferguson, MO
  • NPI 1770737538
  NPD
• Professional Eye Care Inc

  dba Outreach Vision

  • Optometrist
  • Platte City, MO
  • NPI 1588680193
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1083774699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 S FLORISSANT RD",
            "city": "FERGUSON",
            "state": "MO",
            "postal_code": "631352737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 S FLORISSANT RD",
            "city": "FERGUSON",
            "state": "MO",
            "postal_code": "631352736",
            "telephone_number": "314-522-8773",
            "fax_number": "314-522-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHABOT",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "181457",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "316777663",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Building Loving Bridges Home Care LLC
• Brittany Campbell, CD,CLC, TM
• Adam Carey
• Chabot Community Eye Care (Mobile Eye Care Solutions)
• Chabot Community Eye Care PC (Mobile Eye Care Solutions)
• Dorothy N Charles, MD
• Basudev Chaudhary, M.B.B.S
• Christian Care Home
• Takeela Chounta Clemons
• Terri Charisse Coble, M.D.

• Optometrist in Ferguson, MO
• Providers in Ferguson, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.