Lisa Chaudhari, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18004199A Issued in IN

Practice address

4201 Coldwater Rd
Fort Wayne, IN 46805-1113

Phone

(260) 483-9568

NPI assigned

Oct 21, 2019

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 IN

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

Merit-based Incentive Payment System (MIPS)

Final score

91.11 of 100Reported as group

Quality

95.12

Improvement activities

40

Cost

76.89

Medicare enrollment (NPD)

Enrolled

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.

• Family First Vision Care Indiana LLC

  • Optometrist
  • Mishawaka, IN
  • NPI 1922525427
  Medicare reassignment NPD
• Holicki Eye Centers, P.C.

  • Ophthalmology Physician
  • Coldwater, MI
  • NPI 1811980386

  IN

  Medicare reassignment
• Holicki Optical Inc

  • Optometrist
  • Angola, IN
  • NPI 1821382714
  NPD (past)

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1730722968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468051113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468051113",
            "telephone_number": "260-483-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHARI",
        "first_name": "LISA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004199A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawyna Chase, M.S. ED
• Hollace D Chastain, MD
• Chateau Home Care, Inc.
• Jemima Chatla
• Chatter Bug Speech &Language Therapy LLC
• Sanket Chaudhari, MD
• Hira B Chaudhary, DD
• Ashlyn Amish Chauhan, DO
• Sandra Ellen Chauhan, LCSW
• Kaila Chavarria

• Optometrist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.