Lis Corporation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0896140001 Issued in PA

Legal business name

LIS CORPORATION

Practice address

1018 Wyoming Ave
Wyoming, PA 18644-1331

Phone

(570) 288-7471

Fax

(570) 288-8142

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lewis Lisses, ODNPI 1053382994

Title

President

Phone

(570) 288-7471

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CRYSTAL VISION CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lewis E Lisses, O.D.

  • Optometrist
  • Wyoming, PA
  • NPI 1053382994
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1891849063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 WYOMING AVE",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "186441331",
            "telephone_number": "570-288-7471",
            "fax_number": "570-288-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 WYOMING AVE",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "186441331",
            "telephone_number": "570-288-7471",
            "fax_number": "570-288-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "LISSES",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-288-7471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "0896140001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1053382994",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP",
            "identifier": "1891849063",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRYSTAL VISION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elias Aaron Kerr, OTR-L
• Keystone Drug and Alcohol
• Angela Kleback
• Lisa Michaelene Latoski
• Lingua Speech, Swallow, and Voice Services
• Lisa Perugini and Associates P.C.
• Lewis E Lisses, O.D.
• Lisa Luksic
• Melissa Mazzitelli
• Ann Marie McDonough, DMD

• Durable Medical Equipment & Medical Supplies in Wyoming, PA
• Providers in Wyoming, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.