Individual provider Active NPI

Lisa R Pfleger, OPTICIAN

  • Optician
  • Hampton Bays, NY
National Provider Identifier
1801359146
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
C007812-1 Issued in NY
Practice address
4 Springville Rd Ste a
Hampton Bays, NY 11946-2290
Phone
(631) 875-4544
NPI assigned
Apr 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Contact Lens Fitter 156FC0801X C007812-1 NY
Optometric TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1202X
Optician 156FX1800X C007812-1 NY Primary

Addresses

Primary practice location

4 Springville Rd Ste a
Hampton Bays, NY 11946-2290

Mailing address

4 Springville Rd Ste a
Hampton Bays, NY 11946-2290
Phone (631) 875-4544

Other names 1

  • Ms. Lisa R Keyser Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C007812-1NYMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Seifert Optometry PLLC Multi-Specialty Current Accepting new patients
Legacy Optical Inc Contact Lens Fitter CurrentSince Jan 17, 2021 Accepting new patients

Locations

4 Springville Rd
Ste A
Hampton Bays, NY 11946
Phone (631) 728-3132

Organizations & group practices 2

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": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1801359146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SPRINGVILLE RD STE A",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119462290",
            "telephone_number": "631-875-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SPRINGVILLE RD STE A",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119462290",
            "telephone_number": "631-875-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFLEGER",
        "first_name": "LISA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FC0801X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "NY",
            "license": "C007812-1",
            "primary": false
        },
        {
            "code": "156FX1202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optometric Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "C007812-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "KEYSER",
            "middle_name": "R",
            "prefix": "MS.",
            "credential": "OPTICIAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hampton Bays, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; 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.