Lisa Bishop, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

7503TG Issued in TX

Practice address

1251 E Southlake Blvd Ste 331
Southlake, TX 76092-6478

Phone

(817) 668-6393

Fax

(817) 524-6018

NPI assigned

Aug 2, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

2020 EyedrGroup PAC ID 9537457189, 11 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.

• 2020 Eyedr

  • Optometrist
  • Southlake, TX
  • NPI 1942754700
  Medicare reassignment Care Compare group NPD
• Healthcare Eye Clinic Inc.

  • Eyewear Supplier
  • Dallas, TX
  • NPI 1558306308
  NPD (past)
• National Optometry Steven Kasinof and 17 Associates Optometrists

  • Optometrist
  • Virginia Beach, VA
  • NPI 1154406353
  NPD (past)
• National Optometry Steven Kasinof and 17 Associates Optometrists

  • Optometrist
  • Virginia Beach, VA
  • NPI 1275947707
  NPD (past)

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1437150448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 W JEFFERSON BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084510",
            "telephone_number": "214-943-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 E SOUTHLAKE BLVD STE 331",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926478",
            "telephone_number": "817-668-6393",
            "fax_number": "817-524-6018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1953 Glenfield Crossing Ct",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320925044",
            "country_code": "US",
            "telephone_number": "904-808-7104",
            "fax_number": "904-808-7104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "06018001070",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7503TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bill Luu DDS PLLC
• Bio-Medical Applications of Texas, Inc.
• Alyssa Nicole Birdwell
• Samantha Birtalan
• Cameron Michelle Bisbey, MPT, PT
• Jeff Black, MA, LPC
• Jeanne Marie Blakeslee, PMHNP
• Angelica Bledsoe, RBT
• Bloom Primary TX II, PA
• Blue Ocean Health Services LLC

• Optometrist in Southlake, TX
• Providers in Southlake, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.