Lisa Renee Lagassa, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003663 Issued in MI

Practice address

20525 Mack Ave
Grosse Pointe Woods, MI 48236-1655

Phone

(313) 881-6622

Fax

(313) 881-9380

NPI assigned

Oct 7, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

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

Ferris State College - College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Pointe Vision Care PC

  • Optometrist
  • Grosse Pointe Woods, MI
  • NPI 1801830104
  Medicare reassignment NPD

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1720076375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42260 DHARTE CT",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386433",
            "telephone_number": "586-801-4309",
            "fax_number": "313-881-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20525 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361655",
            "telephone_number": "313-881-6622",
            "fax_number": "313-881-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGASSA",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLE PROVIDER #",
            "identifier": "204683",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS #",
            "identifier": "90-0-H2-2311-0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Kramer, MS, LCGC
• Kusch & Raubolt PLLC
• Mark F Kusch, DDS
• George Peter Kypros, M.D.
• Paula Kirk Labadie, PA-C
• Lakepointe Chiropractic Clinic, PLC
• Lakeshore Osteopathic Center,P.C.
• Lakeside Oxygen Supply, Inc.
• James M Landers, MD
• Arrick T Lanier

• Optometrist in Grosse Pointe Woods, MI
• Providers in Grosse Pointe Woods, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.