Individual provider Active NPI

Lisa E Herrington, O.D.

  • Optometrist
  • Hattiesburg, MS
National Provider Identifier
1831240183
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
550 Issued in MS
Practice address
600 W Pine St
Hattiesburg, MS 39401-3834
Phone
(601) 545-2020
Fax
(601) 583-0120
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 550 MS Primary

Addresses

Primary practice location

600 W Pine St
Hattiesburg, MS 39401-3834

Mailing address

600 W Pine St
Hattiesburg, MS 39401-3834
Phone (601) 545-2020

Other identifiers 2

IdentifierTypeStateIssuer
00880007MedicaidMS
410012873OtherMSRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20080211000003 MS Practitioner - Optometry 7214010677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1988
Medicare assignment
May accept Medicare assignment
Group practices
Optometric Clinic, PAGroup PAC ID 0143303503, 2 clinicians

Practice addresses (Care Compare)

600 W Pine St
Hattiesburg, MS 39401-3834
Phone (601) 545-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
550MSMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Oculoplastics Gulf Coast Past Accepting new patients

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1831240183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W PINE ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394013834",
            "telephone_number": "601-545-2020",
            "fax_number": "601-583-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W PINE ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394013834",
            "telephone_number": "601-545-2020",
            "fax_number": "601-583-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRINGTON",
        "first_name": "LISA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00880007",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410012873",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.