Lisa Mary Haggerty, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001987 Issued in PA

Practice address

220 Route 6 and 209
Milford, PA 18337-9454

Phone

(570) 491-5334

Fax

(570) 491-5506

NPI assigned

Jul 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Lisa Mary Landry Former name

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Optometry

Education

New England College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Luxury Optical Holdings Co

  dba Riehle Opticians

  • Eyewear Supplier
  • Warwick, NY
  • NPI 1215310743
  NPD (past)
• Riehle Opticians of Warwick, Inc

  • Eyewear Supplier
  • Warwick, NY
  • NPI 1801813506
  NPD (past)
• Scott M Spector MD

  dba Dr Scott Spectors EyeCare Centers

  • Ophthalmology Physician
  • Norwalk, CT
  • NPI 1083820260
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1316967094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ROUTE 6 AND 209",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183379454",
            "telephone_number": "570-491-5334",
            "fax_number": "570-491-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ROUTE 6 AND 209",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183379454",
            "telephone_number": "570-491-5334",
            "fax_number": "570-491-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGERTY",
        "first_name": "LISA",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025391940001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "LANDRY",
            "middle_name": "MARY",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharon M Graaf, PMHNP
• Camille Grant, MIDWIFE
• Jessica Noel Grossman
• Megan Grover
• Joseph Michael Haggerty, OD
• William Bryan Haggerty, DDS
• Jodi Hancock
• Jamie Lee Hargreaves, PT
• Thomas J Hartey, DC
• Elisabeth Christina Heij, MSW,LSW

• Optometrist in Milford, PA
• Providers in Milford, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.