Active NPI
Lisa Brothers Arbisser, M.D.
- Ophthalmology Physician
- Bettendorf, IA
National Provider Identifier
1528060084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 23550
- Practice address
- 777 Tanglefoot LN
Bettendorf, IA 52722-1650 - Phone
- (563) 323-2020
- Fax
- (563) 328-5694
- NPI assigned
- Aug 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036-076217 | IL | |
| Ophthalmology Physician | 207W00000X | 23550 | IA | Primary |
Addresses
Primary practice location
777 Tanglefoot LN
Bettendorf, IA 52722-1650
Mailing address
777 Tanglefoot LN
Bettendorf, IA 52722-1650
Phone (563) 323-2020
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 790730 | Other | IL | IL GROUP MEDICARE # |
| 0211318 | Medicaid | IA | |
| 26568 | Other | IA | IA GROUP MEDICARE # |
| 0060350 | Other | IA | IA GROUP MEDICAID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23550 | IA | MD | Ophthalmology Physician |
| 036-076217 | IL | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393891200000",
"number": "1528060084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 TANGLEFOOT LN",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527221650",
"telephone_number": "563-323-2020",
"fax_number": "563-328-5694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 TANGLEFOOT LN",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527221650",
"telephone_number": "563-323-2020",
"fax_number": "563-328-5694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARBISSER",
"first_name": "LISA",
"middle_name": "BROTHERS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-15",
"last_updated": "2014-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036-076217",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IA",
"license": "23550",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL GROUP MEDICARE #",
"identifier": "790730",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0211318",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IA GROUP MEDICARE #",
"identifier": "26568",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IA GROUP MEDICAID #",
"identifier": "0060350",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.