Individual provider Active NPI

Lisa A Muiller, O.D.

  • Optometrist
  • Overland Park, KS
National Provider Identifier
1659755239
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2011 Issued in KS
Practice address
10120 W 119TH St
Overland Park, KS 66213-1600
Phone
(913) 339-9090
Fax
(913) 339-6417
NPI assigned
Jul 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2011 KS Primary

Addresses

Primary practice location

10120 W 119TH St
Overland Park, KS 66213-1600

Mailing address

10120 W 119TH St
Overland Park, KS 66213-1600
Phone (913) 339-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20160308000623 KS Practitioner - Optometry 9436455003 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of Overland Park PAGroup PAC ID 3375515596, 10 clinicians
Eye Associates of Prairie Village,PAGroup PAC ID 3072761147, 2 clinicians

Practice addresses (Care Compare)

10120 W 119TH St
Overland Park, KS 66213-1600
Phone (913) 339-9090

7632 State Line Rd
Prairie Village, KS 66208-3705
Phone (913) 642-5000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Overland Park PA Optometrist CurrentSince Jun 23, 2015 Accepting new patients
Eye Associates of Leawood PA Optometrist CurrentSince Jan 31, 2016 Accepting new patients
Eye Associates of South Overland Park Optometrist CurrentSince Aug 14, 2021 Accepting new patients
Eye Associates of North Overland Park Optometrist CurrentSince Jul 1, 2022 Accepting new patients
Eye Associates of Olathe PA Optometrist CurrentSince Jan 31, 2016 Accepting new patients
Eye Associates of Shawnee PA Optometrist CurrentSince Jan 31, 2016 Accepting new patients

Locations

15257 W 135th St
Olathe, KS 66062
Phone (913) 780-9696

10120 W 119th St
Overland Park, KS 66213
Phone (913) 339-9090

8925 Metcalf Ave
Overland Park, KS 66212
Phone (913) 261-9985

15069 Nall Ave
Overland Park, KS 66223
Phone (913) 825-2600

8029 W 159th St
Overland Park, KS 66223
Phone (913) 339-9090

15951 W 65th St
Shawnee, KS 66217
Phone (913) 268-9190

Organizations & group practices 8

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": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1659755239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10120 W 119TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131600",
            "telephone_number": "913-339-9090",
            "fax_number": "913-339-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 W 119TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131600",
            "telephone_number": "913-339-9090",
            "fax_number": "913-339-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUILLER",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.