Individual provider Active NPI

Lissa V Rivero, O.D.

  • Optometrist
  • Sarasota, FL
National Provider Identifier
1528028081
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3664 Issued in FL
Practice address
2020 Cattlemen Rd.
Suite 500
Sarasota, FL 34232-6284
Phone
(941) 378-3937
Fax
(941) 921-1741
NPI assigned
Mar 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3664 FL Primary
Ophthalmology Physician 207W00000X OPC3664 FL

Addresses

Primary practice location

2020 Cattlemen Rd.
Suite 500
Sarasota, FL 34232-6284

Mailing address

2020 Cattlemen Rd
Suite 500
Sarasota, FL 34232-6243
Phone (941) 378-3937

Other identifiers 1

IdentifierTypeStateIssuer
620897500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040512000282 FL Practitioner - Optometry 6002805124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2020 Cattleman Rd
Suite 500
Sarasota, FL 34232-6284

Merit-based Incentive Payment System (MIPS)

Final score
91.69 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sarasota Retina Institute P a Ophthalmology CurrentSince Aug 18, 2005 Accepting new patients

Locations

3400 Bee Ridge Rd
Ste 200
Sarasota, FL 34239
Phone (941) 921-5335

Interoperability endpoints

  • Direct secure messaging: lrivero@sarasotaretinainst.intellechartdirect.net

Organizations & group practices 1

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1528028081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 CATTLEMEN RD",
            "address_2": "SUITE 500",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326243",
            "telephone_number": "941-378-3937",
            "fax_number": "941-378-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 CATTLEMEN RD.",
            "address_2": "SUITE 500",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326284",
            "telephone_number": "941-378-3937",
            "fax_number": "941-921-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERO",
        "first_name": "LISSA",
        "middle_name": "V",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3664",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "OPC3664",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620897500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.