Lisa Ruffle, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00642600 Issued in NJ

Practice address

174 State Route 94
Blairstown, NJ 07825-2115

Phone

(908) 362-8257

Fax

(908) 362-1193

NPI assigned

Aug 28, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Optometry Group PAGroup PAC ID 0648296418, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Northwest Optometry Group, P.a.

  • Optometrist
  • Sparta, NJ
  • NPI 1801853254
  Medicare reassignment Care Compare group NPD
• Northwest Optometry Group, P.a.

  dba Sparta Eye Associates

  • Optometrist
  • Sparta, NJ
  • NPI 1770757379
  NPD (past)

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1710235478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 STATE ROUTE 94",
            "city": "BLAIRSTOWN",
            "state": "NJ",
            "postal_code": "078252115",
            "telephone_number": "908-362-8257",
            "fax_number": "908-362-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 STATE ROUTE 94",
            "city": "BLAIRSTOWN",
            "state": "NJ",
            "postal_code": "078252115",
            "telephone_number": "908-362-8257",
            "fax_number": "908-362-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFFLE",
        "first_name": "LISA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00642600",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OM00109700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katerina Westfeldt Ravielli, LCSW
• Jackie Re, LCADC
• Rem New Jersey, Inc.
• Rha Health Services NJ LLC
• Christine Michelle Rodesiler, FNP
• Jennifer Lynn Russo, LPC, LCADC, ACS
• Eileen F. Schneider, A.T.,C.
• Robert Paul Schwartz, DMD
• Michael A Sefcik, DC
• Stillwater Health and Wellness LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.