Lisa V. Gontarek, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0601801300 Issued in VA

Practice address

501 Battlefield Blvd N
Suite B
Chesapeake, VA 23320-4947

Phone

(757) 966-2206

Fax

(757) 966-2743

NPI assigned

May 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Southern College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Virginia Professional PLLCGroup PAC ID 1456898782, 12 clinicians

Gontarek Eye Care Optometrists LLCGroup PAC ID 7214925890, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drlvg.ieg@direct.ocuhub.com
• Direct secure messaging: lgontarek@seggontarekeyecare.eyefinity-direct.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.

• Gontarek Eye Care Optometrists LLC

  • Optometrist
  • Chesapeake, VA
  • NPI 1801987912
  Medicare reassignment Care Compare group NPD Authorized official
• Aeg Virginia Professional PLLC

  • Optometrist
  • Fredericksburg, VA
  • NPI 1518746908
  Medicare reassignment Care Compare group
• Gontarek Optometric Consultants, LLC

  • Optometrist
  • Chesapeake, VA
  • NPI 1396747879
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1811945298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BATTLEFIELD BLVD N",
            "address_2": "SUITE B",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204947",
            "telephone_number": "757-966-2206",
            "fax_number": "757-966-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BATTLEFIELD BLVD N",
            "address_2": "SUITE B",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204947",
            "telephone_number": "757-966-2206",
            "fax_number": "757-966-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONTAREK",
        "first_name": "LISA",
        "middle_name": "V.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0601801300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary Arianne Gomez Mejia
• Janice M Gomoke, PT
• Lacy Watson Gomoke, MS.,CCC-SLP
• Gontarek Eye Care Optometrists LLC
• Gontarek Optometric Consultants, LLC
• Scott E Gontarek, O.D.
• Aliana Koral Gonzalez, LMT
• Damia Gonzalez, LPC
• Good Neighbor Dental at Edinburgh
• Stacey Goode

• Optometrist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.