Individual provider Active NPI

Lisa A. Marques, O.D.

  • Optometrist
  • Fall River, MA
National Provider Identifier
1336136811
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3736 Issued in MA
Practice address
1741 President Ave
Fall River, MA 02720-7113
Phone
(508) 674-2020
Fax
(508) 674-0359
NPI assigned
Sep 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3736 MA Primary

Addresses

Primary practice location

1741 President Ave
Fall River, MA 02720-7113

Mailing address

51 State Rd
N Dartmouth, MA 02747-3319
Phone (508) 994-1400

Other practice location 1

1 Washington St
Taunton, MA 02780-5293
Phone (508) 802-6770

Other identifiers 1

IdentifierTypeStateIssuer
0300292MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20060829000244 MA Practitioner - Optometry 9537163852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Eye Centers IncGroup PAC ID 8527052539, 15 clinicians

Practice addresses (Care Compare)

500 Faunce Corner Rd
Suite 110
N Dartmouth, MA 02747-1255
Phone 5087170270232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eye Centers Inc Optometrist CurrentSince Nov 1, 2013 Accepting new patients
Prima Care, PC Past Accepting new patients
Prima Care, PC Optometrist Past Accepting new patients

Locations

1741 President Ave
Fall River, MA 02720
Phone (508) 674-2020

500 Faunce Corner Rd
Ste 110
North Dartmouth, MA 02747
Phone (508) 717-0270

1 Washington St
Taunton, MA 02780
Phone (508) 828-9116

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1336136811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 STATE RD",
            "city": "N DARTMOUTH",
            "state": "MA",
            "postal_code": "027473319",
            "telephone_number": "508-994-1400",
            "fax_number": "508-910-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 PRESIDENT AVE",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027207113",
            "telephone_number": "508-674-2020",
            "fax_number": "508-674-0359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Washington St",
            "address_purpose": "LOCATION",
            "city": "Taunton",
            "state": "MA",
            "postal_code": "027805293",
            "country_code": "US",
            "telephone_number": "508-802-6770",
            "fax_number": "508-802-6775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARQUES",
        "first_name": "LISA",
        "middle_name": "A.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0300292",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.