Individual provider Active NPI

Lisa M Limtiaco, O.D.

  • Low Vision Rehabilitation Optometrist
  • Encino, CA
National Provider Identifier
1902813330
Registry record updated Sep 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
10368T Issued in CA
Practice address
16542 Ventura Blvd
Suite 115
Encino, CA 91436-2005
Phone
(650) 799-4201
Fax
(866) 739-7720
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 10368T CA
Low Vision Rehabilitation Optometrist 152WL0500X 10368T CA Primary

Addresses

Primary practice location

16542 Ventura Blvd
Suite 115
Encino, CA 91436-2005

Mailing address

16542 Ventura Blvd
Suite 115
Encino, CA 91436-2005
Phone (650) 799-4201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050629000431 CA Practitioner - Optometry 8426094533 Reassigns benefits to 2 organizations
Practice locations: Encino, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steven B Richlin OD IncGroup PAC ID 4688562168, 6 clinicians

Practice addresses (Care Compare)

6310 San Vicente Blvd
Suite 100
Los Angeles, CA 90048-5498
Phone (310) 276-5333

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10368TCAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Vision Center of Optometry, P C CurrentSince Feb 11, 2005 Accepting new patients
Steven B Richlin, OD, Inc CurrentSince Nov 10, 2013 Accepting new patients
Cedars-Sinai Medical Center PastSince Nov 10, 2013 Accepting new patients
Mireille Partamian Hamparian MD, Inc. Past Accepting new patients

Locations

8907 Wilshire Blvd
Fl 3
Beverly Hills, CA 90211
Phone (310) 276-5333

6310 San Vicente Blvd
Ste 100
Los Angeles, CA 90048
Phone (310) 276-5333

545 Meridian Ave
Ste G
San Jose, CA 95126
Phone (408) 947-2020

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346457600000",
    "number": "1902813330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16542 VENTURA BLVD",
            "address_2": "SUITE 115",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362005",
            "telephone_number": "650-799-4201",
            "fax_number": "866-739-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16542 VENTURA BLVD",
            "address_2": "SUITE 115",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362005",
            "telephone_number": "650-799-4201",
            "fax_number": "866-739-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMTIACO",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "10368T",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "10368T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.