Individual provider Active NPI

Lisa Wang

  • Optometrist
  • Lexington, KY
National Provider Identifier
1871015404
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2062DT Issued in KY
Practice address
2160 Sir Barton Way Ste 143
Lexington, KY 40509-2229
Phone
(859) 543-0857
NPI assigned
Jul 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2062DT KY Primary

Addresses

Primary practice location

2160 Sir Barton Way Ste 143
Lexington, KY 40509-2229

Mailing address

1232 Sebring LN
Lexington, KY 40513-1817

Other practice location 1

535 Wellington Way Ste 160
Lexington, KY 40503-1387
Phone (859) 245-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20171005001591 KY Practitioner - Optometry 2860767548 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kevin Snipes OD and Associates PSCGroup PAC ID 2163584624, 14 clinicians

Practice addresses (Care Compare)

7900 Shelbyville Rd
Suite A15
Louisville, KY 40222-5463
Phone (502) 327-8568

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2062DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin Snipes, O.D. & Associates, PSC Optometrist Current Accepting new patients
Dawn C Stratton OD PSC Optometrist CurrentSince Feb 1, 2019 Accepting new patients
Wangbuiods PLLC Optometrist Current Accepting new patients
Kevin Snipes OD & Associates PSC Optometrist CurrentSince Apr 2, 2021 Accepting new patients

Locations

2160 Sir Barton Way
Ste 143
Lexington, KY 40509
Phone (859) 543-0857

535 Wellington Way
Ste 160
Lexington, KY 40503
Phone (859) 245-2020

118 Marion
Ste 120
Lexington, KY 40517
Phone (859) 271-6194

2160 Sir Barton Way
Lexington, KY 40509
Phone (859) 543-0857

7900 Shelbyville Rd
Ste A15
Louisville, KY 40222
Phone (502) 327-8568

Organizations & group practices 4

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": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1871015404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 SEBRING LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 SIR BARTON WAY STE 143",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092229",
            "telephone_number": "859-543-0857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 Wellington Way Ste 160",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405031387",
            "country_code": "US",
            "telephone_number": "859-245-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2062DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.