Diane Lis O.D.S.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046008227 Issued in IL

Legal business name

DIANE LIS O.D.S.C.

Practice address

801 Meacham Rd
Elk Grove VLG, IL 60007-3073

Phone

(847) 584-7090

Fax

(847) 548-7092

NPI assigned

Nov 10, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Diane Marie Lis, O.D.

Title

Optometrist

Phone

(630) 205-5222

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shreya N. Patel, O.D.

  • Optometrist
  • Elk Grove Village, IL
  • NPI 1285896324
  NPD (past)
• Larissa Nadia Pundy, O.D.

  • Optometrist
  • Arlington Heights, IL
  • NPI 1841311032
  NPD (past)

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1437486511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 MIDWEST CLUB PKWY",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232525",
            "telephone_number": "630-205-5222",
            "fax_number": "630-323-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MEACHAM RD",
            "city": "ELK GROVE VLG",
            "state": "IL",
            "postal_code": "600073073",
            "telephone_number": "847-584-7090",
            "fax_number": "847-548-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE LIS O.D.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "LIS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "630-205-5222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Castillo, MSW
• Maggie Cox
• Tsira S Davidson
• Brock A Deangelo, DO
• Monal Desai, MPT
• Felecia Katherine Dus
• Felisha Ann Edwards
• Lindsey Eilers, MA
• Elk Grove Internists, P.C.
• Sandra L Fallico

• Optometrist in Elk Grove VLG, IL
• Providers in Elk Grove VLG, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.