Lisa Teel, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT9704 Issued in CA

Practice address

545 3Rd St W
Sonoma, CA 95476-6501

Phone

(707) 996-1052

Fax

(707) 996-6787

NPI assigned

Aug 23, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• North Bay Eye Associates, a Medical Corporation

  • Ophthalmology Physician
  • Sonoma, CA
  • NPI 1710163324
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1144337650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PROFESSIONAL CENTER DR",
            "address_2": "SUITE 210",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282164",
            "telephone_number": "707-996-1052",
            "fax_number": "707-996-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 3RD ST W",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766501",
            "telephone_number": "707-996-1052",
            "fax_number": "707-996-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEEL",
        "first_name": "LISA",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT9704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OPT9704",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Sullivan, M.D.
• SV Hospitalist Medical Group Inc
• Tao Tai Homes, Inc
• Sarah Elizabeth Tasker, LMFT
• Nasreen Taymuree
• Judith Ann Tegland, LMFT
• Christopher Stanley Teich, PA-C
• Elizabeth Ann Terrazas, MS, CCC-SLP
• Taylor Tessendore
• Kashyap Ramanlal Thakor, MD

• Optometrist in Sonoma, CA
• Providers in Sonoma, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.