Individual provider Active NPI

Lisa Harp McAllister, O.D.

  • Optometrist
  • Winston Salem, NC
National Provider Identifier
1225344146
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2415 Issued in NC
Practice address
2596 Reynolda Rd Ste a
Winston Salem, NC 27106-4651
Phone
(336) 777-1722
Fax
(336) 725-6954
NPI assigned
Aug 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2415 NC Primary

Addresses

Primary practice location

2596 Reynolda Rd Ste a
Winston Salem, NC 27106-4651

Mailing address

2596 Reynolda Rd Ste a
Winston Salem, NC 27106-4651
Phone (336) 777-1722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20160803003154 NC Practitioner - Optometry 6709065980 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2596 Reynolda Rd
Suite a
Winston Salem, NC 27106-4651
Phone (336) 777-1722

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hillcrest Vision, O.D., P.a. Optometrist CurrentSince Jun 23, 2016 Accepting new patients
Idealeyes, O.D., PLLC Optometrist CurrentSince Sep 15, 2020 Accepting new patients
Aeg Florida Professional PLLC Optometrist PastSince Dec 2, 2022 Accepting new patients

Locations

2596 Reynolda Rd
Ste A
Winston Salem, NC 27106
Phone (336) 777-1722

2341 Winterhaven Ln
Winston Salem, NC 27103
Phone (336) 760-2020

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1225344146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2596 REYNOLDA RD STE A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064651",
            "telephone_number": "336-777-1722",
            "fax_number": "336-725-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2596 REYNOLDA RD STE A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064651",
            "telephone_number": "336-777-1722",
            "fax_number": "336-725-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "LISA",
        "middle_name": "HARP",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.