Individual provider Active NPI

Lisa B. Galluzzo, O.D.

  • Optometrist
  • Plantation, FL
National Provider Identifier
1255333902
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP0002697 Issued in FL
Practice address
850 S. Pine Island Rd
Ste A100
Plantation, FL 33324
Phone
(954) 741-5555
Fax
(954) 741-6298
NPI assigned
Aug 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 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 OP0002697 FL Primary

Addresses

Primary practice location

850 S. Pine Island Rd
Ste A100
Plantation, FL 33324

Mailing address

P.O. Box 39209
Ft. Lauderdale, FL 33339
Phone (954) 851-9966

Other identifiers 4

IdentifierTypeStateIssuer
650560968OtherFLCIGNA
650560968OtherFLHUMANA
650560968OtherFLUNITED
620071100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lisa.galluzzood.p4@direct.eyefl.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080418000384 FL Practitioner - Optometry 1658459441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians of Florida LLPGroup PAC ID 1254414675, 42 clinicians

Practice addresses (Care Compare)

850 S Pine Island Rd
Suite A100
Plantation, FL 33324-3118
Phone (954) 741-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP0002697FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Lauderdale Eye Institute PastSince Aug 19, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lisa.galluzzood.p4@direct.eyefl.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1255333902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 39209",
            "city": "FT. LAUDERDALE",
            "state": "FL",
            "postal_code": "33339",
            "telephone_number": "954-851-9966",
            "fax_number": "954-318-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S. PINE ISLAND RD",
            "address_2": "STE A100",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33324",
            "telephone_number": "954-741-5555",
            "fax_number": "954-741-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLUZZO",
        "first_name": "LISA",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP0002697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "650560968",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "650560968",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "650560968",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620071100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa.galluzzood.p4@direct.eyefl.nextgenshare.com",
            "affiliation": "N",
            "address_1": "850 S. Pine Island Rd",
            "address_2": "Ste A100",
            "city": "Plantation",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.