Individual provider Active NPI

Lisa N Vo, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1336476605
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007500-1 Issued in NY
Practice address
1498 1St Ave
New York, NY 10075-1410
Phone
(212) 249-3630
NPI assigned
Nov 6, 2009
Last updated
Jun 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007500-1 NY Primary

Addresses

Primary practice location

1498 1St Ave
New York, NY 10075-1410

Mailing address

1498 1St Ave
New York, NY 10075-1410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230310000779 CA Practitioner - Optometry 1850422593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vision PCGroup PAC ID 9234472242, 115 clinicians

Practice addresses (Care Compare)

11717 Bernardo Plaza CT
Suite 105
San Diego, CA 92128-2419
Phone (858) 487-5555

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007500-1NYMDOptometrist
007500NYMDAcupuncturist
35327CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince Jan 24, 2023 Accepting new patients
David W. Stemley, O.D., Inc. Optometrist PastSince Jul 4, 2017 Accepting new patients
Bonita Point Family Optometry, Inc. Optometrist PastSince Jun 1, 2012 Accepting new patients
Glasses on First Inc Optometrist Past Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Optometrist Past Accepting new patients

Locations

180 Otay Lakes Rd
Ste 201
Bonita, CA 91902
Phone (619) 267-2012

2540 El Camino Real
Ste B
Carlsbad, CA 92008
Phone (760) 729-9353

1093 E Main St
El Cajon, CA 92021
Phone (619) 444-1153

7850 Broadway
Lemon Grove, CA 91945
Phone (619) 697-2020

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555

7770 Regents Rd
Ste 104
San Diego, CA 92122
Phone (858) 546-1940

665 San Rodolfo Dr
Ste 119
Solana Beach, CA 92075
Phone (858) 755-5503

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1336476605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751410",
            "telephone_number": "212-249-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO",
        "first_name": "LISA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-06",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007500-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.