Individual provider Active NPI

Lisa Elizabeth Graybeal

  • Optometrist
  • Concord, NC
National Provider Identifier
1750325478
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1891 Issued in NC
Practice address
150 Concord Commons PL SW
Concord, NC 28027-5026
Phone
(704) 721-5530
NPI assigned
Jun 15, 2006
Last updated
Aug 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1891 NC Primary

Addresses

Primary practice location

150 Concord Commons PL SW
Concord, NC 28027-5026

Mailing address

141 Lilac Mist Loop
Mooresville, NC 28115-8701
Phone (704) 315-9171

Other names 1

  • Dr. Lisa Elizabeth Graybeal Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20070814000321 NC Practitioner - Optometry 7012008444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Accuvision Eye Care OD, PAGroup PAC ID 6406996875, 14 clinicians

Practice addresses (Care Compare)

1480 Concord Pkwy N
Suite 301
Concord, NC 28025-0109
Phone (704) 721-5522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Accuvision Eye Care OD, PA Optometrist CurrentSince Nov 20, 2024 Accepting new patients
Duplin Eye Associates PA Optometrist Past Accepting new patients

Locations

1480 Concord Pkwy N
Ste 301
Concord, NC 28025
Phone (704) 721-5522

3916 E Franklin Blvd
Ste 160
Gastonia, NC 28056
Phone (704) 565-0660

Organizations & group practices 3

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1750325478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 LILAC MIST LOOP",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281158701",
            "telephone_number": "704-315-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CONCORD COMMONS PL SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280275026",
            "telephone_number": "704-721-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYBEAL",
        "first_name": "LISA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "GRAYBEAL",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.