Active NPI
Lisa M Mongiello, OD
- Optometrist
- Scranton, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000231
- Practice address
- 200 Mifflin Ave
Scranton, PA 18503-1982 - Phone
- (570) 342-3145
- Fax
- (570) 344-1309
- NPI assigned
- Aug 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG000231 | PA | Primary |
Addresses
Primary practice location
200 Mifflin Ave
Scranton, PA 18503-1982
Mailing address
2661 Riva Rd Ste 1030
Annapolis, MD 21401-7131
Phone (667) 354-5528
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15788 | Other | GEISINGER HEALTH PLAN | |
| 001504280 | Medicaid | PA | |
| 506554 | Other | AETNA | |
| M0774785 | Other | HIGHMARK BLUE SHIELD | |
| 410032103 | Other | RAILROAD MEDICARE | |
| 081377 | Other | FIRST PRIORITY HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1582 Main St
Peckville, PA 18452-2029
Phone (570) 489-4430
170 Boston Ave
West Pittston, PA 18643-2724
Phone (570) 602-1010
200 Mifflin Ave
Scranton, PA 18503-1982
Phone (855) 204-6888
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.08 of 100
- Quality
- 85.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 64.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG000231 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Innovation Centers of Pennsylvania LLC | Optometrist | Current | Accepting new patients |
| Vision Innovation Centers of Pennsylvania LLC | Optometrist | Current | Accepting new patients |
| Vision Innovation Centers of Pennsylvania LLC | Optometrist | Past | Accepting new patients |
Locations
2661 Riva Rd
Ste 1030
Annapolis, MD 21401
703 Rutter Ave
Kingston, PA 18704
Phone (570) 288-7405
1582 Main St
Peckville, PA 18452
Phone (570) 278-2279
200 Mifflin Ave
Scranton, PA 18503
Phone (570) 342-3145
170 Boston Ave
West Pittston, PA 18643
Phone (570) 602-1010
Interoperability endpoints
- lisa.mongiello@vip.emadirect.md
Organizations & group practices 3
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.
-
- Ophthalmology Physician
- Kingston, PA
- NPI 1962046458
Optometrist
-
- Durable Medical Equipment & Medical Supplies
- Nanticoke, PA
- NPI 1104460542
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1548273600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2661 RIVA RD STE 1030",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017131",
"telephone_number": "667-354-5528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MIFFLIN AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185031982",
"telephone_number": "570-342-3145",
"fax_number": "570-344-1309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONGIELLO",
"first_name": "LISA",
"middle_name": "M",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000231",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "15788",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001504280",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "506554",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "M0774785",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410032103",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "081377",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.