Lisa Moffitt Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000769 Issued in PA

Legal business name

LISA MOFFITT INC

Practice address

16086 Conneaut Lake Rd
Meadville, PA 16335-3884

Phone

(814) 337-4426

NPI assigned

Dec 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Moffitt, OD

Title

President

Phone

(814) 724-3468

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1578709200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11605 HUNTERS RIDGE BLVD APT 5",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163356269",
            "telephone_number": "814-724-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16086 CONNEAUT LAKE RD",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353884",
            "telephone_number": "814-337-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA MOFFITT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-30",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "MOFFITT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-724-3468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty Street Internal Medicine PC
• Life Care Home Services of Northwestern Pennsylvania LLP
• Nicholas David Limano, PA-C, MPAS
• Catherine Ann Lingler, M.S., CCC-SLP
• Andrew Glenn Linn
• Olivia Loeblein, DMD
• Brooke C. Lorah, PA-C
• Valerie J Lord
• Lotus Therapeutic Services, LLC
• Peter Lultschik, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; 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.