Lisanne Close, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-008884 Issued in IL

Practice address

875 N Milwaukee Ave Unit 300
Vernon Hills, IL 60061-3167

Phone

(847) 325-4440

Fax

(847) 325-4443

NPI assigned

Mar 31, 2011

Last updated

May 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lisanne Rogers Former name

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1995

Medicare assignment

May accept Medicare assignment

Group practices

Dr Kaplan and Associates PCGroup PAC ID 9931259330, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Kaplan & Associates, P.C.

  • Optometrist
  • Lake Zurich, IL
  • NPI 1063646164
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Illinois, LLC

  dba MyEyeDr.

  • Optometrist
  • Chicago, IL
  • NPI 1245695378
  Medicare reassignment NPD
• Myeyedr Optometry of Illinois, LLC

  • Optometrist
  • Chicago, IL
  • NPI 1154297752
  NPD
• Myeyedr Optometry of Illinois, LLC

  dba MyEyeDr.

  • Optometrist
  • Winnetka, IL
  • NPI 1154786069
  NPD
• Eye2Eye

  • Optometrist
  • Kenilworth, IL
  • NPI 1073857769
  NPD (past)

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1548559446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 N MILWAUKEE AVE UNIT 300",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600613167",
            "telephone_number": "847-325-4440",
            "fax_number": "847-325-4443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 N Wells St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606105693",
            "country_code": "US",
            "telephone_number": "312-664-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "521 Park Drive",
            "address_2": "#1B",
            "address_purpose": "LOCATION",
            "city": "Kenilworth",
            "state": "IL",
            "postal_code": "60043",
            "country_code": "US",
            "telephone_number": "847-920-5135",
            "fax_number": "847-920-5137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLOSE",
        "first_name": "LISANNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-31",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008884",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISANNE",
            "last_name": "ROGERS",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carrie Nicole Cicciu-Singer, PT
• Amanda Catherine Clark
• Olivia Marie Clark
• Paula Lenise Cleveland, CLINICAL INTERN
• Jeremy Byron Clorfene, PH.D.
• Anna Coady
• Christina K. Cobb, B.A CADC
• Stacey Cohen, SLP MA /CCC
• Ryan Collier, DPT, PT
• Ryan Miguel Colon, PA-C

• Optometrist in Vernon Hills, IL
• Providers in Vernon Hills, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.

Verify at the official NPI Registry.