D'Lisa Yvette Patterson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2690 Issued in WI

Practice address

130 E Capitol Dr
Milwaukee, WI 53212-1206

Phone

(414) 962-6744

Fax

(414) 962-6746

NPI assigned

Aug 30, 2006

Last updated

Jul 19, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 IN

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

Ohio State University - College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

City Optical Co IncGroup PAC ID 5597668574, 49 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.

• City Optical Co., Inc.

  dba Dr Tavel Family Eye Care

  • Optometrist
  • Bloomington, IN
  • NPI 1003805185
  Medicare reassignment Care Compare group NPD
• City Optical Co., Inc.

  dba Dr Tavel Family Eye Care

  • Optometrist
  • New Castle, IN
  • NPI 1003805714
  NPD
• City Optical Co., Inc.

  dba Dr. Tavel Family Eye Care

  • Optometrist
  • Merrillville, IN
  • NPI 1356233068
  NPD
• City Optical Co., Inc.

  dba Dr. Tavel Family Eye Care

  • Optometrist
  • Indianapolis, IN
  • NPI 1033107958
  NPD (past)
• City Optical Co., Inc.

  dba Dr Tavel Family Eye Care

  • Optometrist
  • Muncie, IN
  • NPI 1306070768
  NPD (past)
• City Optical Co., Inc.

  • Optometrist
  • Fishers, IN
  • NPI 1366274235
  NPD (past)
• City Optical Co., Inc.

  dba Dr Tavel Family Eye Care

  • Optometrist
  • Westfield, IN
  • NPI 1730980046
  NPD (past)
• City Optical Co., Inc.

  dba Dr Tavel Family Eye Care

  • Optometrist
  • Terre Haute, IN
  • NPI 1881683977
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1689784415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4609 N RIVER PARK BLVD",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532096524",
            "telephone_number": "414-476-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121206",
            "telephone_number": "414-962-6744",
            "fax_number": "414-962-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "D'LISA",
        "middle_name": "YVETTE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Patt Jr., CRNA
• Caitlin Renae Patten
• Starlette Marie Patterson-Biddle, PHD
• Chelsea Patterson, BSN, RN
• Colleen Patterson
• Emily B. Patterson, AU.D.
• Jenessa Patterson
• Jennifer A Patterson, LPC
• Kathleen Mary Patterson, PH.D.
• Katrina Patterson, PA-C

• Optometrist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.