Individual provider Active NPI

Lisa Fougere Jones, O.D.

  • Optometrist
  • Corvallis, OR
National Provider Identifier
1093938318
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3348AT Issued in OR
Practice address
1329 NW 9TH St Ste 135
Corvallis, OR 97330-5386
Phone
(541) 220-1200
Fax
(541) 225-4705
NPI assigned
Apr 11, 2007
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3348AT OR Primary

Addresses

Primary practice location

1329 NW 9TH St Ste 135
Corvallis, OR 97330-5386

Mailing address

1329 NW 9TH St Ste 135
Corvallis, OR 97330-5386
Phone (541) 220-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2025 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3348ATORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jones Eye Care LLC Optometrist CurrentSince Jul 28, 2024 Accepting new patients
Dr Lisa Fougere and Associates Inc PS Optometrist PastSince Sep 5, 2006 Accepting new patients

Locations

1329 NW 9th St
Ste 135
Corvallis, OR 97330
Phone (541) 220-1200

Organizations & group practices 2

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1093938318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 NW 9TH ST STE 135",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973305386",
            "telephone_number": "541-220-1200",
            "fax_number": "541-225-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 NW 9TH ST STE 135",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973305386",
            "telephone_number": "541-220-1200",
            "fax_number": "541-225-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "LISA",
        "middle_name": "FOUGERE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3348AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.