Individual provider Active NPI

Lisa Strand Baloian, OD

  • Optometrist
  • San Francisco, CA
National Provider Identifier
1346297322
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12545TPG Issued in CA
Practice address
1719 Noriega St
San Francisco, CA 94122-4307
Phone
(628) 256-2177
Fax
(415) 500-2738
NPI assigned
May 27, 2006
Last updated
Sep 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12545TPG CA Primary

Addresses

Primary practice location

1719 Noriega St
San Francisco, CA 94122-4307

Mailing address

PO Box 2127
El Granada, CA 94018-2127
Phone (415) 672-9509

Other practice location 1

804 41st Ave
Santa Cruz, CA 95062-4421
Phone (831) 462-5945

Other practice location 2

2830 W Main St
Visalia, CA 93291-4331
Phone (559) 636-1000

Other identifiers 1

IdentifierTypeStateIssuer
12545OtherCABOARD OF OPTOMETRY LICENSE

Other names 1

  • Dr. Lisa Strand Baloian Other name

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
I20110407000877 CA Practitioner - Optometry 5890979330 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2830 W Main St
Visalia, CA 93291-4331
Phone (559) 636-1000

Merit-based Incentive Payment System (MIPS)

Final score
90.97 of 100Reported as group
Quality
97.71
Improvement activities
40
Cost
66.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12545TPGCAMDOptometrist
12545CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Eye Medical Group Inc. CurrentSince Dec 1, 2024 Accepting new patients
Pacific Eye Surgeons, a California Professional Medical Corporation Optometrist CurrentSince Nov 1, 2024 Accepting new patients
North Coast Vision Optometrist CurrentSince Jan 18, 2020 Accepting new patients
Sierra Eye Medical Group Inc. Optometrist CurrentSince Dec 1, 2024 Accepting new patients
Pacific Eye Surgeons, a California Professional Medical Corporation CurrentSince Nov 1, 2024 Accepting new patients
Sierra Eye Optometric Corp Optometrist Past Accepting new patients

Locations

1395 W Lacey Blvd
Hanford, CA 93230
Phone (559) 585-3937

931 Oak Park Blvd
Ste 201
Pismo Beach, CA 93449
Phone (805) 473-6640

3855 Broad St
#B
San Luis Obispo, CA 93401
Phone (805) 545-7881

804 41st Ave
Santa Cruz, CA 95062
Phone (831) 462-5945

816 E Enos Dr
Ste A
Santa Maria, CA 93454
Phone (805) 346-1717

2830 W Main St
Visalia, CA 93291
Phone (559) 636-1000

Interoperability endpoints

  • Direct secure messaging: lbaloian@sierraeyemed.intellechartdirect.net

Organizations & group practices 7

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1346297322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2127",
            "city": "EL GRANADA",
            "state": "CA",
            "postal_code": "940182127",
            "telephone_number": "415-672-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 NORIEGA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941224307",
            "telephone_number": "628-256-2177",
            "fax_number": "415-500-2738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "804 41st Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950624421",
            "country_code": "US",
            "telephone_number": "831-462-5945",
            "fax_number": "831-462-5937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2830 W Main St",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932914331",
            "country_code": "US",
            "telephone_number": "559-636-1000",
            "fax_number": "559-636-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALOIAN",
        "first_name": "LISA",
        "middle_name": "STRAND",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12545TPG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF OPTOMETRY LICENSE",
            "identifier": "12545",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BALOIAN",
            "middle_name": "STRAND",
            "prefix": "DR.",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.