James Thomas Lisle, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002981A Issued in IN

Practice address

747 N State St
North Vernon, IN 47265-1044

Phone

(812) 346-8500

Fax

(812) 352-8308

NPI assigned

Aug 30, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lisle Family Eye Care IncGroup PAC ID 0648257022, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

60 of 100Reported as individual

Quality

20

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jtlisle@direct.revolutionehr.com

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.

• Lisle Family Eye Care Inc

  • Optometrist
  • North Vernon, IN
  • NPI 1518904655
  Medicare reassignment Care Compare group NPD Authorized official
• Lisle Family Eye Care Inc

  • Optometrist
  • Seymour, IN
  • NPI 1053973438
  NPD Authorized official
• Lisle Family Eye Care Inc

  • Optometrist
  • Vevay, IN
  • NPI 1417348525
  NPD (past) Authorized official

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1790778306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 N STATE ST",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "472651044",
            "telephone_number": "812-352-6600",
            "fax_number": "812-352-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 N STATE ST",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "472651044",
            "telephone_number": "812-346-8500",
            "fax_number": "812-352-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISLE",
        "first_name": "JAMES",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002981A",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1415DT",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200335310A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION",
            "identifier": "924288",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KYHEALTH CHOICES",
            "identifier": "7700115400",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200347550",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Lee
• Morgan Lee, PHARMD
• Rebecca Lester, PTA
• Anthony Ezra Lilly, PSY.D., H.S.P.P.
• Lisle Family Eye Care Inc
• Margaret Ann Lisle, OD
• Kyra A Littrell, LMHC, LCAC
• Olivia Ann Lux, OD
• Sarah Mann, CRNA
• Destiny Marcum, BS, CADAC II

• Optometrist in North Vernon, IN
• Providers in North Vernon, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.