Individual provider Active NPI

Lisa S Zarwell, OD

  • Optometrist
  • Madison, WI
National Provider Identifier
1720044563
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2829-035 Issued in WI
Practice address
1025 Regent St
Davis Duehr Dean Dean Medical Center
Madison, WI 53715-1248
Phone
(608) 282-2000
Fax
(608) 282-2172
NPI assigned
Apr 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2829-035 WI Primary

Addresses

Primary practice location

1025 Regent St
Davis Duehr Dean Dean Medical Center
Madison, WI 53715-1248

Mailing address

1025 Regent St
Davis Duehr Dean Dean Medical Center
Madison, WI 53715-1248
Phone (608) 282-2000

Other identifiers 3

IdentifierTypeStateIssuer
60479OtherWIDEAN HEALTH INSURANCE
2016800OtherWIPHYSICIANS PLUS
38612000MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20041020000933 WI Practitioner - Optometry 0648231969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clements Vision CareGroup PAC ID 3971830001, 4 clinicians

Practice addresses (Care Compare)

2808 Prairie Lakes Dr
Suite 106
Sun Prairie, WI 53590-8509
Phone (608) 825-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2829-035WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clements Vision Care Optometrist CurrentSince Jun 28, 2019 Accepting new patients

Locations

1455 W Main St
Sun Prairie, WI 53590
Phone (608) 825-2020

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1720044563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 REGENT ST",
            "address_2": "DAVIS DUEHR DEAN DEAN MEDICAL CENTER",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151248",
            "telephone_number": "608-282-2000",
            "fax_number": "608-282-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 REGENT ST",
            "address_2": "DAVIS DUEHR DEAN DEAN MEDICAL CENTER",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151248",
            "telephone_number": "608-282-2000",
            "fax_number": "608-282-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARWELL",
        "first_name": "LISA",
        "middle_name": "S",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2829-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH INSURANCE",
            "identifier": "60479",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS PLUS",
            "identifier": "2016800",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38612000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.