Active NPI
Lisa M Wilson, O.D.
- Optometrist
- Haslet, TX
National Provider Identifier
1861487613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 13706
- Practice address
- 2432 Avondale Haslet Rd Ste 200
Haslet, TX 76052-3428 - Phone
- (817) 993-2020
- NPI assigned
- Sep 19, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 13706 | CA | Primary |
Addresses
Primary practice location
2432 Avondale Haslet Rd Ste 200
Haslet, TX 76052-3428
Mailing address
2432 Avondale Haslet Rd Ste 200
Haslet, TX 76052-3428
Phone (817) 993-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11338TG | Other | TX | OPTOMETRIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2432 Avondale Haslet Rd
Suite 200
Haslet, TX 76052-3428
Phone (817) 993-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13706 | CA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haslet Family Eyecare, PLLC | Optometrist | Current | Accepting new patients |
Locations
2432 Avondale Haslet Rd
Ste 200
Haslet, TX 76052
Phone (817) 369-5876
Organizations & group practices 1
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.
-
- Optometrist
- Haslet, TX
- NPI 1134921190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1861487613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2432 AVONDALE HASLET RD STE 200",
"city": "HASLET",
"state": "TX",
"postal_code": "760523428",
"telephone_number": "817-993-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2432 AVONDALE HASLET RD STE 200",
"city": "HASLET",
"state": "TX",
"postal_code": "760523428",
"telephone_number": "817-993-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "LISA",
"middle_name": "M",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-19",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "13706",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTOMETRIST",
"identifier": "11338TG",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Haslet, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.