Lisa Lynn Stafford, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002840 Issued in IN

Practice address

2070 S State Road 39
Frankfort, IN 46041-7655

Phone

(765) 659-2020

Fax

(765) 654-4668

NPI assigned

Aug 31, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in IN

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

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisa@lisastafford.eyeclinicdirect.net

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.

• Lisa Stafford, OD PC

  • Optometrist
  • Frankfort, IN
  • NPI 1437324878

  IN, Optometrist

  Medicare reassignment NPD Authorized official
• Michael a Colarusso, OD, PC

  • Optometrist
  • Frankfort, IN
  • NPI 1487925442
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290556800000",
    "number": "1609988872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 S STATE ROAD 39",
            "city": "FRANKFORT",
            "state": "IN",
            "postal_code": "460417655",
            "telephone_number": "765-659-2020",
            "fax_number": "765-654-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 S STATE ROAD 39",
            "city": "FRANKFORT",
            "state": "IN",
            "postal_code": "460417655",
            "telephone_number": "765-659-2020",
            "fax_number": "765-654-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "LISA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000230330",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200107990",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Vincent Medical Group, Inc.
• St. Vincent Medical Group, Inc.
• St. Vincent Medical Group, Inc.
• St. Vincent Physician Network
• St. Vincent Physician Network, LLC
• Kimberly Susanne Stevens, P.T.
• India Tapplar, FNP-C
• Rebecca J. Taylor, PT, DPT
• Kristi Lynn Tesmer, ED.S.
• Stephen Daniel Tharp, MD

• Optometrist in Frankfort, IN
• Providers in Frankfort, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.