Lisa Bohra, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301070213 Issued in MI

Practice address

7001 Orchard Lake Rd
200
West Bloomfield, MI 48322-3604

Phone

(248) 538-7400

Fax

(248) 538-7403

NPI assigned

Apr 11, 2006

Last updated

May 23, 2024By 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 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Michigan Medical School, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Childrens Eye Care PCGroup PAC ID 0244338127, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lbohra@direct.dmc.org
• Direct secure messaging: lbohra1226092@epic00.shdirect.org

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.

• Childrens Eye Care PC

  • Ophthalmology Physician
  • Dearborn, MI
  • NPI 1922069806
  Medicare reassignment Care Compare group NPD
• Beaumont Medical Group- Specialty Services

  • Surgery Physician
  • Royal Oak, MI
  • NPI 1578072906
  Medicare reassignment NPD
• Children's Eye Care PC

  • Ophthalmology Physician
  • Detroit, MI
  • NPI 1972874683
  NPD
• Children's Eye Care, PC

  • Ophthalmology Physician
  • West Bloomfield, MI
  • NPI 1245490242
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1184687980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6689 ORCHARD LAKE RD # 297",
            "address_2": "CHILDRENS EYE CARE PC",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223404",
            "telephone_number": "248-254-8140",
            "fax_number": "248-254-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 ORCHARD LAKE RD",
            "address_2": "200",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223604",
            "telephone_number": "248-538-7400",
            "fax_number": "248-538-7403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 E First St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485023604",
            "country_code": "US",
            "telephone_number": "810-262-9773",
            "fax_number": "810-262-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHRA",
        "first_name": "LISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301070213",
            "primary": true
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "MI",
            "license": "4301070213",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4435937",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lbohra3894@direct.hurleymc.com",
            "affiliation": "N",
            "address_1": "300 E First St Ste 201",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485023604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer L Boden, DPT
• Bodie of Love Resident Home Care Agency LLC (home care provider)
• Bodyreformmd
• Erica Boettcher, MA, CCC-SLP
• Boggs P.C (davis chiropractic)
• Ashley Nicole Bolin, PT, DPT
• Thomas Richard Bolten, D.D.S., MD
• James Bombard
• Abby Simone Bonato, M.D.
• Karen Lehman Boren, P.T,

• Ophthalmology Physician in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.