Jay Paul Lizyness, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

L698050 Issued in MI

Practice address

655 W 13 Mile Rd
Madison Heights, MI 48071-1844

Phone

(248) 577-3659

Fax

(248) 588-9320

NPI assigned

Jul 13, 2006

Last updated

Mar 11, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Ferris State College - College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Susan Mithoff Quade OD PCGroup PAC ID 1052307089, 2 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Definition PLLC

  • Optometrist
  • Canton, MI
  • NPI 1528485703
  Medicare reassignment NPD Authorized official
• Susan Mithoff Quade OD PC

  • Durable Medical Equipment & Medical Supplies
  • Trenton, MI
  • NPI 1023294584

  Optometrist

  Medicare reassignment Care Compare group NPD
• Pcor LLC

  • Optometrist
  • Troy, MI
  • NPI 1720033343
  Medicare reassignment NPD
• Pcor, LLC

  • Optometrist
  • Troy, MI
  • NPI 1801122460
  NPD

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1629093562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-916-3226",
            "fax_number": "313-916-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W 13 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711844",
            "telephone_number": "248-577-3659",
            "fax_number": "248-588-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZYNESS",
        "first_name": "JAY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "L698050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James S Lewerenz, D.O.
• Lifetime Home Help Care Inc
• Lighthouse Pediatrics PLLC
• David Lipton, DDS
• Benjamin Liu
• Bradley Evan Loiben, D.O.
• Long Life Home Health Services LLC
• Robert Thomas Losey, ACNP
• Jeremy Lott, D.O.
• Angellette Love

• Optometrist in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.