Active NPI
Lisa B Dibler, O.D.
- Vision Therapy Optometrist
- Chesterfield, MO
National Provider Identifier
1679527253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- T03159
- Practice address
- 266 Lamp and Lantern VLG
Chesterfield, MO 63017-8209 - Phone
- (636) 527-8877
- Fax
- (636) 527-8897
- NPI assigned
- May 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | T03159 | MO | Primary |
Addresses
Primary practice location
266 Lamp and Lantern VLG
Chesterfield, MO 63017-8209
Mailing address
266 Lamp and Lantern VLG
Chesterfield, MO 63017-8209
Phone (636) 527-8877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383696000000",
"number": "1679527253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "266 LAMP AND LANTERN VLG",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630178209",
"telephone_number": "636-527-8877",
"fax_number": "636-527-8897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "266 LAMP AND LANTERN VLG",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630178209",
"telephone_number": "636-527-8877",
"fax_number": "636-527-8897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIBLER",
"first_name": "LISA",
"middle_name": "B",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2013-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "MO",
"license": "T03159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.