Individual provider Active NPI

Lisa M Asman, O.D.

  • Optometrist
  • Waukee, IA
National Provider Identifier
1700334752
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
086025 Issued in IA
Practice address
1350 SE University Ave
Waukee, IA 50263-8933
Phone
(515) 987-3937
Fax
(515) 330-3427
NPI assigned
Sep 20, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Eye Care PC 10 clinicians

Practice addresses (Care Compare)

1350 SE University Ave
Waukee, IA 50263-8933
Phone (515) 987-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20170907003658 IA Practitioner - Optometry 3476826751 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
086025IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
KNJ Optometry PLC Optometrist CurrentSince Jan 1, 2023 Accepting new patients
Russell R Gist OD PC Optometrist Past Accepting new patients

Locations

1620 N Ankeny Blvd
Ste 106
Ankeny, IA 50023
Phone (515) 201-0176

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 086025 IA Primary

Addresses

NPPES NPI Registry

Primary practice location

1350 SE University Ave
Waukee, IA 50263-8933

Mailing address

1350 SE University Ave
Waukee, IA 50263-8933
Phone (515) 987-3937

Other practice location 1

1620 N Ankeny Blvd Ste 106
Ankeny, IA 50023-4111
Phone (515) 963-7902

Other practice location 2

1810 SW White Birch Cir Ste 109
Ankeny, IA 50023-7226
Phone (515) 965-8488

Other names 1

NPPES NPI Registry
  • Lisa M Pelzer Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 30, 2022.

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1700334752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 SE UNIVERSITY AVE",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638933",
            "telephone_number": "515-987-3937",
            "fax_number": "515-330-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 SE UNIVERSITY AVE",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638933",
            "telephone_number": "515-987-3937",
            "fax_number": "515-330-3427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 N Ankeny Blvd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "500234111",
            "country_code": "US",
            "telephone_number": "515-963-7902",
            "fax_number": "844-493-4932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1810 SW White Birch Cir Ste 109",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "500237226",
            "country_code": "US",
            "telephone_number": "515-965-8488",
            "fax_number": "515-965-8499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASMAN",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "086025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "PELZER",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waukee, IA

Sources for this page

Verify at the official NPI Registry.