Lisa Kay Mao MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME60043 Issued in FL

Legal business name

LISA KAY MAO MD PA

Doing business as

Lisa Kay Mao MD

Practice address

1445 NW Boca Raton Blvd
Boca Raton, FL 33432

Phone

(561) 997-8100

Fax

(561) 338-7785

NPI assigned

Mar 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Kay Mao, MDNPI 1902097413

Title

Owner

Phone

(954) 648-4929

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lisa Kay Mao MD Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Kay Mao, M.D.

  • Specialist
  • Boca Raton, FL
  • NPI 1902097413
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730158551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 NW 38TH TERRACE",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734132",
            "telephone_number": "954-648-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 NW BOCA RATON BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33432",
            "telephone_number": "561-997-8100",
            "fax_number": "561-338-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA KAY MAO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAO",
        "authorized_official_first_name": "LISA KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-648-4929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME60043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37046880",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lisa Kay Mao MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Lipman, D.C.
• Scott L Lipp, PHD, LMHC, LPC, NCC
• Roberta J. Lipsitz, OTR/L
• Debra Marla Lipson, MSW
• Lisa Farah Levine
• Lisa M. Sandler, Psy.D, P.a.
• Lisa Tetreault LMHC
• Michael Steven Liss, DMD
• Ryan William Liss, PT, DPT, CSCS
• Tamara Liss

• Ophthalmology Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.