Lisa Ellen Rubin

Primary specialty

OpticianTaxonomy code 156FX1800X

License

S4508 Issued in OH

Practice address

800 Huron Rd E
Cleveland, OH 44115-1121

Phone

(216) 781-7900

NPI assigned

Sep 19, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lisa Ellen Rubin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Jerold Optical Inc.

  • Optician
  • Cleveland, OH
  • NPI 1932247996
  NPD Authorized official

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1467888693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 HURON RD E",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441151121",
            "telephone_number": "216-781-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HURON RD E",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441151121",
            "telephone_number": "216-781-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "LISA",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "OH",
            "license": "S4508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4360507",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "RUBIN",
            "middle_name": "ELLEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alissa Rubin
• Batsheva Reich Rubin
• Benjamin Rubin, LISW
• Brian P Rubin, MD
• Kasia Rubin, MD.
• Sheila Rubin, MD
• Tina Rubino, CRNA
• Lauren Ann Rubinski, PT
• Dana Anne Rubis, CNP
• Allen Rucker

• Optician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Optician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.