Lisa M Kollis-Young, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

540 Issued in SD

Practice address

5129 S Western Ave
Sioux Falls, SD 57108

Phone

(605) 332-2231

NPI assigned

Aug 29, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lisa M Kollis Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SD

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

Pacific University - College of Optometry, 1995

Medicare assignment

May accept Medicare assignment

Group practices

Eyecare Specialties of South Dakota PC 9 clinicians

Howlin Vision Clinic PC 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.17 of 100Reported as group

Quality

98.33

Improvement activities

40

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 and National Provider Directory roles.

• Howlin Vision Clinic, P.C.

  • Optometrist
  • Sioux Falls, SD
  • NPI 1083777676
  Medicare reassignment Care Compare group NPD Authorized official
• Eyecare Specialties of South Dakota, P.C.

  • Optometrist
  • Sioux Falls, SD
  • NPI 1942176680
  Medicare reassignment Care Compare group NPD
• Howlin Vision Clinic, P.C.

  • Optometrist
  • Sioux Falls, SD
  • NPI 1538340575
  Care Compare group NPD Authorized official
• Howlin Vision Clinic, P.C.

  • Optometrist
  • Sioux Falls, SD
  • NPI 1902533276
  Care Compare group NPD Authorized official

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1609869262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5129 S WESTERN AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57108",
            "telephone_number": "605-332-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5129 S WESTERN AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57108",
            "telephone_number": "605-332-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLIS-YOUNG",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-29",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9203043",
            "state": "SD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kollis@eyeclinicdirect.net",
            "affiliation": "Y",
            "endpointDescription": "Dr. Lisa Kollis-Young direct messaging address",
            "affiliationName": "Howlin Vision Clinic, P.C.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5129 S Western Ave",
            "city": "Sioux Falls",
            "state": "SD",
            "country_code": "US",
            "postal_code": "57108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "KOLLIS",
            "middle_name": "M",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gerard J Kokett, PHARMD
• Bryce Kolander, CRNA
• Kelli Kolander, C.N.P.
• Constance Elise Kolbrek
• Goutham Kolli, M.D
• Nicholas John Kolterman, C.PED
• Patrick Konda, DC
• Samantha Lorraine Konechne, DNP
• Ewa A Konik, MD
• Konstant Chiropractic Center

• All providers in Sioux Falls, SD
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.