Individual provider Active NPI

Lisa Renee Cantrell, O.D.

  • Optometrist
  • Dripping Springs, TX
National Provider Identifier
1245240688
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6924TG Issued in TX
Practice address
433 Sportsplex Dr Ste 100
Dripping Springs, TX 78620-5359
Phone
(512) 858-0020
Fax
(512) 858-2720
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6924TG TX Primary

Addresses

Primary practice location

433 Sportsplex Dr Ste 100
Dripping Springs, TX 78620-5359

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other names 1

  • Lisa Murrell Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20061101000261 TX Practitioner - Optometry 3274530480 Reassigns benefits to 1 organization
Practice locations: Dripping Springs, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Southwest PLLCGroup PAC ID 4082952874, 234 clinicians

Practice addresses (Care Compare)

1929 W State Hwy 46
Suite 103
New Braunfels, TX 78132-5337
Phone (830) 524-8870

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6924TXMDMental Health Counselor
6924TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Inmed Diagnostics Services of SC LLC CurrentSince Jan 1, 2011 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Nov 2, 2020 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Nov 2, 2020 Accepting new patients

Locations

433 Sportsplex Dr
Ste 100
Dripping Springs, TX 78620
Phone (512) 858-0020

1929 State Highway 46 W
Ste 103
New Braunfels, TX 78132
Phone (830) 524-8870

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: lcantrell018732@myeyedr.emadirect.md

Organizations & group practices 4

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1245240688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 SPORTSPLEX DR STE 100",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786205359",
            "telephone_number": "512-858-0020",
            "fax_number": "512-858-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6924TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MURRELL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dripping Springs, TX

Sources for this page

Verify at the official NPI Registry.