Individual provider Active NPI

Lisa Elizabeth Solberg Veal, O.D.

  • Optometrist
  • Mission Hills, CA
National Provider Identifier
1619162013
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13411T Issued in CA
Practice address
15336 Devonshire St Ste 4
Mission Hills, CA 91345-2763
Phone
(818) 361-4020
Fax
(818) 361-3966
NPI assigned
Sep 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13411T CA Primary

Addresses

Primary practice location

15336 Devonshire St Ste 4
Mission Hills, CA 91345-2763

Mailing address

15336 Devonshire St Ste 4
Mission Hills, CA 91345-2763
Phone (818) 361-4020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20081021000081 CA Practitioner - Optometry 1951469964

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13411TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa E.S. Veal, O.D., a Professional Optometric Corporation Optometrist Current Accepting new patients
Lynn Watt Kurata, OD Faao an Optometric Corporation Optometrist PastSince Jun 2, 2014 Accepting new patients
Vipal Gandhi O.D. Inc Optometrist PastSince Jul 25, 2021 Accepting new patients
Burbank Optometric Center, Inc PastSince Aug 18, 2012 Accepting new patients

Locations

15336 Devonshire St
Ste 4
Mission Hills, CA 91345
Phone (818) 361-4020

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1189296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1619162013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15336 DEVONSHIRE ST STE 4",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452763",
            "telephone_number": "818-361-4020",
            "fax_number": "818-361-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15336 DEVONSHIRE ST STE 4",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452763",
            "telephone_number": "818-361-4020",
            "fax_number": "818-361-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEAL",
        "first_name": "LISA",
        "middle_name": "ELIZABETH SOLBERG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-09",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13411T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.