Lisa Martin Eriksson, O.D.
Individual provider Active NPI Optometrist · South Burlington, VT
NPI 1649228933 · NPPES record last updated Jun 21, 2016
Key facts
- NPI
- 1649228933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 0300000262 (VT)
- Practice address
- 1100 Hinesburg Rd
Suite 201
South Burlington, VT 05403-7613 - Phone
- (802) 862-1808
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- New England College of Optometry, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Juli a Larson PC Vermont Eye Associates
Practice addresses (Care Compare)
1100 Hinesburg Rd
South Burlington, VT 05403-7613
Phone (802) 862-1808
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.28 of 100
- Quality
- 94
- Improvement activities
- 40
- Cost
- 78.93
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040524001390 | VT | Practitioner - Optometry | 7719978097 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0300000262 | VT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Juli a Larson PC Vermont Eye Associates | Current |
Accepting new patients | |
| Juli a. Larson MD PLLC | Past | Accepting new patients |
Locations
1100 Hinesburg Rd
#201
South Burlington, VT 05403
Phone (802) 862-1808
1100 Hinesburg Rd
#20
South Burlington, VT 05403
Phone (802) 862-1808
5399 Williston Rd
Ste 101
Williston, VT 05495
Phone (802) 862-1808
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0300000262 | VT | Yes |
Addresses
Primary practice location
1100 Hinesburg Rd
Suite 201
South Burlington, VT 05403-7613
Mailing address
1100 Hinesburg Rd
Suite 201
South Burlington, VT 05403-7613
Phone (802) 862-1808
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0VN2568 | Medicaid | VT | |
| P00138234 | Other | VT | RAIL ROAD MEDICARE |
Other providers in South Burlington, VT
- Gamal H Eltabbakh
- Georgia D Eltabbakh
- Elvira Zulkic, MSW. LLC
- Jill Lorraine Entis
- Erik Willis, Ma, LLC
- Reimy Evangelista de Leon
- Eye Vermont LLC
- Lindsay Fagan
- Markus Fankhauser
- Liam Henry Farrell
All providers in South Burlington, VT · Optometrist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.