Individual provider Active NPI

Lisa Michelle Weiss, O.D.

  • Vision Therapy Optometrist
  • Rancho Santa Fe, CA
National Provider Identifier
1790867091
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
11405T Issued in CA
Practice address
6037 La Granada Ste a
Rancho Santa Fe, CA 92067
Phone
(858) 756-3210
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 11405T CA
Pediatric Optometrist 152WP0200X 11405T CA
Vision Therapy Optometrist 152WV0400X 11405T CA Primary

Addresses

Primary practice location

6037 La Granada Ste a
Rancho Santa Fe, CA 92067

Mailing address

PO Box 275
Rancho Santa Fe, CA 92067-0275
Phone (858) 756-3210

Other practice location 1

303 E Main St
El Cajon, CA 92020-3913
Phone (619) 444-1153

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address info@rsfoptometry.com Health Information Exchange (HIE)
Other URL info@rsfoptometry.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20070524000470 CA Practitioner - Optometry 1557468642 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Rancho Santa Fe Optometry ApcGroup PAC ID 9537167655, 2 clinicians

Practice addresses (Care Compare)

6037 La Granada
Suite a
Rancho Santa Fe, CA 92067-0275
Phone (858) 756-3210

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11405CAMDProfessional Counselor
11405TCAMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC CurrentSince Apr 22, 2019 Accepting new patients
Lisa M. Weiss, O.D. Optometric Corp Corneal and Contact Management CurrentSince Mar 1, 2007 Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Past Accepting new patients

Locations

303 E Main St
El Cajon, CA 92020
Phone (619) 444-1153

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1790867091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 275",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920670275",
            "telephone_number": "858-756-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6037 LA GRANADA STE A",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "92067",
            "telephone_number": "858-756-3210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 E Main St",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920203913",
            "country_code": "US",
            "telephone_number": "619-444-1153",
            "fax_number": "619-444-1154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISS",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "11405T",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "11405T",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "11405T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@rsfoptometry.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure email",
            "address_1": "6037 La Granada",
            "address_2": "Ste A",
            "city": "Rancho Santa Fe",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@rsfoptometry.com",
            "affiliation": "N",
            "endpointDescription": "secure emai",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6037 La Granada Ste A",
            "city": "Rancho Santa Fe",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rancho Santa Fe, CA

Sources for this page

Verify at the official NPI Registry.