Active NPI
Lisa E. Graybeal, O.D. PLLC
- Optometrist
- Concord, NC
National Provider Identifier
1770515124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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 DirectoryLocations
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.
-
- Optometrist
- Dallas, NC
- NPI 1558305276
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.