Active NPI
Lisa M Testa OD Inc
- Optometrist
- Akron, OH
National Provider Identifier
1437323011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OH4179 T681
- Legal business name
- LISA M TESTA OD INC
- Practice address
- 2694 S. Main St.
Akron, OH 44319 - Phone
- (330) 785-5111
- Fax
- (330) 785-5114
- NPI assigned
- Apr 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lisa M Testa, OD
- Title
- President
- Phone
- (330) 785-5111
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OH4179 T681 | OH | Primary |
Addresses
Primary practice location
2694 S. Main St.
Akron, OH 44319
Mailing address
2694 S. Main St.
Akron, OH 44319
Phone (330) 785-5111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4040431 | Other | PTAN | |
| 0872739 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2213211 | Lisa M Testa, OD, Inc | Certificate of waiver | Feb 9, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Coventry Township, OH
- NPI 1144215864
-
- Optometrist
- Akron, OH
- NPI 1972031565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726617600000",
"number": "1437323011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2694 S. MAIN ST.",
"city": "AKRON",
"state": "OH",
"postal_code": "44319",
"telephone_number": "330-785-5111",
"fax_number": "330-785-5114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2694 S. MAIN ST.",
"city": "AKRON",
"state": "OH",
"postal_code": "44319",
"telephone_number": "330-785-5111",
"fax_number": "330-785-5114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LISA M TESTA OD INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-15",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A",
"authorized_official_last_name": "TESTA",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "330-785-5111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "OH",
"license": "OH4179 T681",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "4040431",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0872739",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.