Individual provider Active NPI

Lisa Draper, OD

  • Optometrist
  • Lancaster, PA
National Provider Identifier
1740696749
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003959 Issued in PA
Practice address
1430 Harrisburg Pike
Lancaster, PA 17601-2615
Phone
(717) 606-1150
NPI assigned
Jul 10, 2014
Last updated
Dec 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8488T TX
Optometrist 152W00000X I3-0001385 DE
Optometrist 152W00000X OEG003959 PA Primary

Addresses

Primary practice location

1430 Harrisburg Pike
Lancaster, PA 17601-2615

Mailing address

5301 Limestone Rd
Suite 128
Wilmington, DE 19808-1250
Phone (302) 239-1933

Other practice location 1

5301 Limestone Rd
Suite 128
Wilmington, DE 19808-1250
Phone (302) 239-1933

Other identifiers 1

IdentifierTypeStateIssuer
1124091-04MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151223000603 DE Practitioner - Optometry 0042430142 Reassigns benefits to 1 organization
I20221203000581 PA Practitioner - Optometry 0042430142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
56.69
Promoting interoperability
100
Improvement activities
40
Cost
74.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I3-0001385DEMDOptometrist
8488TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Simon Eye Associates PA Optometrist CurrentSince Jan 1, 2016 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Dec 7, 2022 Accepting new patients
Eye Associates of Bucks County CurrentSince Jan 1, 2016 Accepting new patients
The Milton S Hershey Medical Center Physicians Group CurrentSince Dec 7, 2022 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
The Milton S. Hershey Medical Center Physicians Group Past Accepting new patients

Locations

472 E Main St
Middletown, DE 19709

5301 Limestone Rd
Ste 128
Wilmington, DE 19808

912 N Union St
Wilmington, DE 19805
Phone (302) 655-8180

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

500 University Dr
#A4
Hershey, PA 17033
Phone (717) 531-6261

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

1430 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 327-4680

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1740696749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 LIMESTONE RD",
            "address_2": "SUITE 128",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081250",
            "telephone_number": "302-239-1933",
            "fax_number": "302-489-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 HARRISBURG PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012615",
            "telephone_number": "717-606-1150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 Limestone Rd",
            "address_2": "Suite 128",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198081250",
            "country_code": "US",
            "telephone_number": "302-239-1933",
            "fax_number": "302-489-0130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAPER",
        "first_name": "LISA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8488T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I3-0001385",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124091-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.