Lisa M.T. Wiseman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4976 T1846 Issued in OH

Practice address

3609 Medina Rd
Medina, OH 44256-8181

Phone

(800) 571-2261

Fax

(330) 723-3003

NPI assigned

Jun 17, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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 OH

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

Ohio State University - College of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renuvision IncGroup PAC ID 0345478970, 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: lisa.wiseman@767.chartlogic.direct-ci.com

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.

• Renuvision, Inc.

  dba Excellence in EyeCare

  • Specialist
  • Medina, OH
  • NPI 1588092621

  Optometrist

  Medicare reassignment Care Compare group NPD
• Excellence in Eye Care

  • Ophthalmology Physician
  • Medina, OH
  • NPI 1790738813

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1891790531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3081 PONDSFORD DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442566897",
            "telephone_number": "330-721-7559",
            "fax_number": "330-721-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 MEDINA RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568181",
            "telephone_number": "800-571-2261",
            "fax_number": "330-723-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "LISA",
        "middle_name": "M.T.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4976 T1846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• June A Wirtz, R.D.
• Agnes Anna Wise
• Brenda Irvin Wise, MT-BC
• Jacquelyn N Wise
• Gina Wiseman, PTA
• Brenda S. Witsaman, FNP-C
• Amy Witte, SLP
• Uwe Alfred Wolfram
• Bryce Wood
• Joellen Kae Woodring, LPCC-S

• Optometrist in Medina, OH
• Providers in Medina, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.