Lisa Martin Wiedeman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OA00516100 Issued in NJ

Practice address

1809 Corlies Ave
Suite 1
Neptune, NJ 07753-4801

Phone

(732) 774-5566

Fax

(732) 988-7574

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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 NJ

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

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 and National Provider Directory roles.

• Del Negro & Senft Eye Associates, P.C.

  • Ophthalmology Physician
  • Neptune, NJ
  • NPI 1891866323

  Optometrist

  Medicare reassignment NPD
• Del Negro & Senft Eye Associates, P.C.

  • Optometrist
  • Neptune, NJ
  • NPI 1013496348
  NPD (past)
• Ronald Minzter, MD PC

  • Specialist
  • Freehold, NJ
  • NPI 1750472171
  NPD (past)
• Strategic Rehabilitation Services, P.C.

  • Specialist
  • Freehold, NJ
  • NPI 1477616266
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1710098066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 CORLIES AVE",
            "address_2": "SUITE 1",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534801",
            "telephone_number": "732-774-5566",
            "fax_number": "732-988-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 CORLIES AVE",
            "address_2": "SUITE 1",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534801",
            "telephone_number": "732-774-5566",
            "fax_number": "732-988-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDEMAN",
        "first_name": "LISA",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA00516100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Michael Whitehead, PT
• Shannon Whitledge, LSW, CHHT
• Amy Lynn Whitlock, CRNA
• Jaqueline Serwaa Wiafe
• Stephanie Wickman, PA
• Frederic Elliot Wien, MD
• Lauren Wildman, PA-C
• Evan Michael Wiley
• Victoria Lynn Wilkins, DO
• Jennifer Marie Williams, PA-C

• Optometrist in Neptune, NJ
• Providers in Neptune, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.