Lisa Ann Depietto

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

OD00003878 Issued in WA

Practice address

15118 Main St
Suite 600
Mill Creek, WA 98012-1653

Phone

(425) 357-0508

Fax

(425) 357-1082

NPI assigned

Dec 13, 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 names 1

• Lisa Ann May-Depietto Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396807947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15118 MAIN ST",
            "address_2": "SUITE 600",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121653",
            "telephone_number": "425-357-0508",
            "fax_number": "425-357-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15118 MAIN ST",
            "address_2": "SUITE 600",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121653",
            "telephone_number": "425-357-0508",
            "fax_number": "425-357-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPIETTO",
        "first_name": "LISA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WA",
            "license": "OD00003878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MAY-DEPIETTO",
            "middle_name": "ANN",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kristin Dedeaux, D.C.
• Karen Mitrakul Deguzman
• Jason Patrick Dekema
• Preston John Dekker, DDS
• Jenifer Rae Denormandie
• Dion Richard Di Blasi, OD
• Diana Diamond, LMT
• Jennifer Tumamao Domingo, RN
• Mayara Fernanda Dos Santos, PT
• Doug Beck PLLC

• Corneal and Contact Management Optometrist in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Corneal and Contact Management Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.