Individual provider Active NPI

Chelsea Ann Lizik, O.D.

  • Optometrist
  • Indiana, PA
National Provider Identifier
1851648117
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002539 Issued in PA
Practice address
1265 Wayne Ave
119 Professional Center, Suite 203
Indiana, PA 15701-3501
Phone
(724) 463-0286
Fax
(724) 463-3542
NPI assigned
Aug 6, 2012
Last updated
Aug 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002539 PA Primary

Addresses

Primary practice location

1265 Wayne Ave
119 Professional Center, Suite 203
Indiana, PA 15701-3501

Mailing address

1265 Wayne Ave
119 Professional Center, Suite 203
Indiana, PA 15701-3501
Phone (724) 463-0286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120917000237 PA Practitioner - Optometry 5597913541 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Greengate PCGroup PAC ID 4486734050, 6 clinicians

Practice addresses (Care Compare)

6048 Route 30
Greensburg, PA 15601-1279
Phone (724) 836-0802

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002539PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince May 1, 2018 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians Optometrist CurrentSince May 1, 2018 Accepting new patients
Eyecare Greengate PC Optometrist CurrentSince Jun 8, 2023 Accepting new patients
David D. Green OD Optometrist PastSince Jun 8, 2023 Accepting new patients
Thomas C Trevorrow PastSince Sep 15, 2012 Accepting new patients
Thomas C Trevorrow PastSince Sep 15, 2012 Accepting new patients

Locations

6048 Route 30
Greensburg, PA 15601
Phone (724) 836-0802

1265 Wayne Ave
Ste 119
Indiana, PA 15701
Phone (724) 349-3233

4566 Wm Penn Hwy
Murrysville, PA 15668
Phone (724) 387-9344

203 Lothrop St
Fl 7
Pittsburgh, PA 15213
Phone (412) 647-2200

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1851648117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 WAYNE AVE",
            "address_2": "119 PROFESSIONAL CENTER, SUITE 203",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013501",
            "telephone_number": "724-463-0286",
            "fax_number": "724-463-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 WAYNE AVE",
            "address_2": "119 PROFESSIONAL CENTER, SUITE 203",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013501",
            "telephone_number": "724-463-0286",
            "fax_number": "724-463-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZIK",
        "first_name": "CHELSEA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.