Individual provider Active NPI

Lisa Ann Daws, O.D.

  • Optometrist
  • Midland, MI
National Provider Identifier
1255521597
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004427 Issued in MI
Practice address
5908 Eastman Ave
Midland, MI 48640-6748
Phone
(989) 636-7200
Fax
(989) 636-7210
NPI assigned
Aug 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004427 MI Primary

Addresses

Primary practice location

5908 Eastman Ave
Midland, MI 48640-6748

Mailing address

5908 Eastman Ave
Midland, MI 48640-6748
Phone (989) 636-7200

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110112000474 MI Practitioner - Optometry 7618166240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dennis M. Johnson O.D. P.C.Group PAC ID 0244308070, 3 clinicians

Practice addresses (Care Compare)

5908 Eastman Ave
Midland, MI 48640-6748
Phone (989) 636-7200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004427MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dennis M Johnson OD PC Optometrist CurrentSince Sep 10, 2011 Accepting new patients

Locations

5908 Eastman Ave
Midland, MI 48640
Phone (989) 636-7200

Organizations & group practices 1

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1255521597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5908 EASTMAN AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406748",
            "telephone_number": "989-636-7200",
            "fax_number": "989-636-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5908 EASTMAN AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406748",
            "telephone_number": "989-636-7200",
            "fax_number": "989-636-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWS",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.