Lisa R Kanfoush OD

Primary specialty

OptometristTaxonomy code 152W00000X

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

Last updated

Nov 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Rae Kanfoush, ODNPI 1992761092

Title

Owner

Phone

(724) 378-4457

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Rae Kanfoush, O.D.

  • Optometrist
  • Aliquippa, PA
  • NPI 1992761092
  NPD (past) Authorized official

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": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Aliquippa, PA
• Providers in Aliquippa, PA by specialty
• Optometrist in Pennsylvania

• 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.

Verify at the official NPI Registry.