Individual provider Active NPI

Lisa Januskey, O.D.

  • Optometrist
  • College Station, TX
National Provider Identifier
1437238409
Registry record updated Oct 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6893TG Issued in TX
Practice address
3975 State Hwy 6
Suite 900
College Station, TX 77845
Phone
(979) 985-5305
Fax
(979) 764-4312
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6893TG TX Primary

Addresses

Primary practice location

3975 State Hwy 6
Suite 900
College Station, TX 77845

Mailing address

3975 State Highway 6 South
900
College Station, TX 77845
Phone (979) 985-5305

Other identifiers 2

IdentifierTypeStateIssuer
81737QOtherTXBLUE CROSS BLUE SHIELD
7214684OtherCIGNA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070921000582 TX Practitioner - Optometry 2264526193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Eye Care, PLLCGroup PAC ID 3173617008, 3 clinicians

Practice addresses (Care Compare)

3975 State Hwy 6 S
Suite 900
College Station, TX 77845-6063
Phone (979) 985-5305

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6893TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Visual Performance and Learning Center Current Accepting new patients
Precision Eye Care, PLLC CurrentSince Jan 1, 2007 Accepting new patients

Locations

3975 State Highway 6 S
Ste 900
College Station, TX 77845
Phone (979) 985-5305

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191628800000",
    "number": "1437238409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 STATE HIGHWAY 6 SOUTH",
            "address_2": "900",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77845",
            "telephone_number": "979-985-5305",
            "fax_number": "979-764-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 STATE HWY 6",
            "address_2": "SUITE 900",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77845",
            "telephone_number": "979-985-5305",
            "fax_number": "979-764-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANUSKEY",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6893TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "81737Q",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7214684",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.