Lisa Dianne Mihora, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

44635 Issued in AZ

Practice address

9151 W Thunderbird Rd # G104
Peoria, AZ 85381-4906

Phone

(623) 522-8687

Fax

(862) 522-8683

NPI assigned

Oct 17, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Virginia Commonwealth University, School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Thrive Health IV Clinic PCGroup PAC ID 0941668057, 9 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Oculoplastic Eye Surgeons of Phoenix P.L.C.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Peoria, AZ
  • NPI 1821457532
  Medicare reassignment NPD Authorized official
• Thrive Health IV Clinic, P.C.

  • Infusion Therapy Clinic/Center
  • Peoria, AZ
  • NPI 1760269005
  Medicare reassignment Care Compare group NPD
• Cameron Ria LLC

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1346550530
  NPD
• Thrive Health IV Clinic PC

  • Multi-Specialty Clinic/Center
  • Sherman Oaks, CA
  • NPI 1497615686
  NPD
• District Medical Group, Inc

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1295968162
  NPD (past)
• Medical &Surgical Eye Specialists LTD

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1548567522
  NPD (past)

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1639168255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9151 W THUNDERBIRD RD # G104",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814906",
            "telephone_number": "623-522-8687",
            "fax_number": "623-522-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9151 W THUNDERBIRD RD # G104",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814906",
            "telephone_number": "623-522-8687",
            "fax_number": "862-522-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHORA",
        "first_name": "LISA",
        "middle_name": "DIANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "AZ",
            "license": "44635",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "44635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmihora@direct.practicefusion.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9151 W Thunderbird Rd # G104",
            "city": "Peoria",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853814906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emilie Michael, PMHNP-BC, FNP-C
• Danielle Michalak, LPN
• Michelle M. Mahour DDS PC
• Walter Honorio Migotto, M.D.
• Amanda Lynn Mihalo, LCSW
• Svetiana Mijalski
• Chantel Marie Miladinovic
• Dejan Miladinovic
• Terri Lee Mileham, CFNP
• Diane Regina Miller Koch, DC

• Ophthalmology Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Ophthalmology Physician in Arizona

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