Lisa Michelle Prejean, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9045TG Issued in TX

Practice address

2910 Market Loop
Temple, TX 76502-1855

Phone

(254) 778-6165

NPI assigned

Aug 24, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503532800000",
    "number": "1174040737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 WESTBURY LN",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786334465",
            "telephone_number": "979-236-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 MARKET LOOP",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765021855",
            "telephone_number": "254-778-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREJEAN",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2017-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R-258",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9045TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinnari M Prajapati, D.D.S.
• Gagan Prakash, M.D.
• Karim Prasla, PHARM.D.
• Jacob Michael Prater, MD
• Joy M. Prater, NP
• Premier ER Plus - Temple, LLC
• Steve Prentiss, ATC, LAT
• Nicole Marie Prescott
• Sheila Presley
• Irene Preston, R.D.

• Optometrist in Temple, TX
• Providers in Temple, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; 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.