Organization Active NPI

Lisa E. Graybeal, O.D. PLLC

  • Optometrist
  • Concord, NC
National Provider Identifier
1770515124
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LISA E. GRAYBEAL, O.D. PLLC
Practice address
150 Concord Commons PL SW
Concord, NC 28027-5026
Phone
(704) 720-7363
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Authorized official

Name
Dr. Lisa Elizabeth Graybeal, O.D.
Title
Owner
Phone
(704) 720-7363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 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

National Provider Directory

National Provider Directory

Locations

624 Jetton St
Ste 210
Davidson, NC 28036
Phone (704) 439-3174

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1770515124",
    "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",
            "fax_number": "704-786-9180"
        },
        {
            "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": "704-720-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA E. GRAYBEAL, O.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "GRAYBEAL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-720-7363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.