Active NPI
Lisa Bissessar, O.D
- Optometrist
- Orlando, FL
National Provider Identifier
1568586337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC3871
- Practice address
- 3402 Technological Ave
Suite 124
Orlando, FL 32817-1402 - Phone
- (407) 208-1890
- Fax
- (407) 208-1877
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | OPC3871 | FL | Primary |
Addresses
Primary practice location
3402 Technological Ave
Suite 124
Orlando, FL 32817-1402
Mailing address
3402 Technological Ave
Suite 124
Orlando, FL 32817-1402
Phone (407) 208-1890
Other identifiers 19
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16919 | Other | FL | AVESIS |
| 2001559460 | Other | FL | WELLCARE HMO |
| 09298 | Other | FL | MEDICAL EYE SERVICES |
| 201559450 | Other | FL | ADVANTICA EYE CARE |
| 201559460 | Other | FL | CITRUS MEDICARE |
| 201559460 | Other | FL | SUPERIOR VISION |
| 59396 | Other | FL | SAFEGUARD PPO |
| 201559460 | Other | FL | CITRUS HEALTH CARE |
| 201559460 | Other | FL | GREAT WEST |
| 201559460 | Other | FL | PREFERRED ONE ADMIN |
| 222104 | Other | FL | COLE VISION |
| 24570 | Other | FL | SPECTERA |
| 44732 | Other | FL | DAVIS VISION |
| 13734 | Other | FL | SVS FORD |
| 921486 | Other | FL | BLOCK VISION |
| 201559460 | Other | FL | STAYWELL HEALTHY KIDS |
| 100724 | Other | FL | NVA |
| 201559460 | Other | FL | ALLIED EYE CARE |
| 201559460 | Other | FL | CARE ONE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060113000120 | FL | Practitioner - Optometry | 3375566607 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321488000000",
"number": "1568586337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3402 TECHNOLOGICAL AVE",
"address_2": "SUITE 124",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328171402",
"telephone_number": "407-208-1890",
"fax_number": "407-208-1877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3402 TECHNOLOGICAL AVE",
"address_2": "SUITE 124",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328171402",
"telephone_number": "407-208-1890",
"fax_number": "407-208-1877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISSESSAR",
"first_name": "LISA",
"name_prefix": "Dr.",
"credential": "O.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2011-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC3871",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVESIS",
"identifier": "16919",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE HMO",
"identifier": "2001559460",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL EYE SERVICES",
"identifier": "09298",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANTICA EYE CARE",
"identifier": "201559450",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITRUS MEDICARE",
"identifier": "201559460",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUPERIOR VISION",
"identifier": "201559460",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAFEGUARD PPO",
"identifier": "59396",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITRUS HEALTH CARE",
"identifier": "201559460",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST",
"identifier": "201559460",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE ADMIN",
"identifier": "201559460",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLE VISION",
"identifier": "222104",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "24570",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "44732",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SVS FORD",
"identifier": "13734",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLOCK VISION",
"identifier": "921486",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STAYWELL HEALTHY KIDS",
"identifier": "201559460",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NVA",
"identifier": "100724",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIED EYE CARE",
"identifier": "201559460",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE ONE",
"identifier": "201559460",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.