Active NPI
Lisa R Kanfoush OD
- Optometrist
- Aliquippa, PA
National Provider Identifier
1578032769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- LISA R KANFOUSH OD
- Practice address
- 131 Pleasant Dr Ste 4U
Aliquippa, PA 15001-1300 - Phone
- (724) 622-6467
- Fax
- (724) 378-4547
- NPI assigned
- Nov 16, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lisa Rae Kanfoush, OD
- Title
- Owner
- Phone
- (724) 378-4457
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
131 Pleasant Dr Ste 4U
Aliquippa, PA 15001-1300
Mailing address
131 Pleasant Dr Ste 4U
Aliquippa, PA 15001-1300
Phone (724) 622-6467
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009739462 | Other | AETNA | |
| 1003814559 | Other | PA | UNITED HEALTH CARE |
| 065944RBR | Other | PA | MEDICARE |
| 11149961050 | Other | PA | NPI |
| 314110 | Other | PA | UPMC |
| 0004329329 | Other | PA | AETNA |
| 1114996105 | Other | PA | NPI |
| 312055 | Other | PA | UPMC |
| 701466 | Other | PA | HIGHMARK |
| 1003814559 | Other | PA | MEDICARE |
| 1547972 | Other | PA | GATEWAY |
| 251892272 | Other | PA | CIGNA |
| 2792074 | Other | PA | BLUE CROSS BLUE SHIELD |
| 92272 | Other | PA | MEDICARE |
National Provider Directory
National Provider DirectoryLocations
131 Pleasant Dr
Ste 4U
Aliquippa, PA 15001
Phone (724) 378-4457
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Aliquippa, PA
- NPI 1992761092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1542326400000",
"number": "1578032769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 PLEASANT DR STE 4U",
"city": "ALIQUIPPA",
"state": "PA",
"postal_code": "150011300",
"telephone_number": "724-622-6467",
"fax_number": "724-378-4547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 PLEASANT DR STE 4U",
"city": "ALIQUIPPA",
"state": "PA",
"postal_code": "150011300",
"telephone_number": "724-622-6467",
"fax_number": "724-378-4547"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LISA R KANFOUSH OD",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-16",
"last_updated": "2018-11-16",
"status": "A",
"authorized_official_last_name": "KANFOUSH",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "RAE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "724-378-4457",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0009739462",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1003814559",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "065944RBR",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "11149961050",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "314110",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004329329",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1114996105",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "312055",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "701466",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1003814559",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1547972",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "251892272",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "2792074",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "92272",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aliquippa, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.