Meryl Jill Liss, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4815 Issued in NJ

Practice address

20 A Chestnut Ridge Rd
Montvale, NJ 07645

Phone

(201) 391-2011

Fax

(201) 391-2016

NPI assigned

Nov 15, 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

Medicare fee-for-service enrollment

Enrolled in NJ

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

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.

• Society Inc.

  dba Sharper Vision

  • Optometrist
  • Montvale, NJ
  • NPI 1487811949
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1225101801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 A CHESTNUT RIDGE RD",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451802",
            "telephone_number": "201-391-2011",
            "fax_number": "201-391-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 A CHESTNUT RIDGE RD",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "07645",
            "telephone_number": "201-391-2011",
            "fax_number": "201-391-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISS",
        "first_name": "MERYL",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "4815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harlan Levine, M.D.
• Lifeclinic Physical Therapy & Chiropractic NJ LLC
• Lifeline Urgent Care LLC
• Beata Ligas, P.T.
• Jessica Paige Lippe, M.A., BCBA
• Surie Lissauer, LMHC
• Lawrence I Livingston, MD
• Maria Lockwood, RPH
• Julianne M Lovece
• Nery R Lucero, PHARMACIST

• Optometrist in Montvale, NJ
• Providers in Montvale, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.