Dianna Lister, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4683 Issued in MA

Practice address

126 High St
Ste 100
Boston, MA 02110-2710

Phone

(617) 426-0100

Fax

(617) 426-1503

NPI assigned

Jul 15, 2008

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

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

Specialty

Optometry

Education

New England College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Envision Optometry, PCGroup PAC ID 4082890041, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Envision Optometry, PC

  • Optometrist
  • Boston, MA
  • NPI 1740583152
  Medicare reassignment Care Compare group
• Envision Optometry PC

  • Optometrist
  • Boston, MA
  • NPI 1386032092
  NPD

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1407010887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 HIGH ST",
            "address_2": "STE 100",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021102710",
            "telephone_number": "617-426-0100",
            "fax_number": "617-426-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 HIGH ST",
            "address_2": "STE 100",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021102710",
            "telephone_number": "617-426-0100",
            "fax_number": "617-426-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTER",
        "first_name": "DIANNA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Lisiewicz, AUD
• Victoria Lisowski
• Desta Lissanu, MD
• Taylor Marie Lissarrague
• Brianne Lista, CNP
• Edward Liston Kraft, PHD
• Matthew Litchfield, PHARMD, RPH
• Joshua Harris Litchman, MD
• Tess Deutch Litchman, MD
• Randi Lite, RCEP

• Optometrist in Boston, MA
• Providers in Boston, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.