Lisa D Creighton

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DO00001440 Issued in WA

Practice address

605 Wood Creek Dr
Lynden, WA 98264-1107

Phone

(369) 510-4432

Fax

(360) 318-0822

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Mobile Eyeworks LLC

  • Eyewear Supplier
  • Lynden, WA
  • NPI 1972805406
  NPD (past) Authorized official

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1902975915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 WOOD CREEK DR",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982641107",
            "telephone_number": "360-510-4432",
            "fax_number": "360-318-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 WOOD CREEK DR",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982641107",
            "telephone_number": "369-510-4432",
            "fax_number": "360-318-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREIGHTON",
        "first_name": "LISA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "WA",
            "license": "DO00001440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2031342",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Cochrane, MS MFT
• Colony House Furniture
• Kelly Cooper, LMHC
• Kaytlynn Robin Ella Corey
• Jeanne Crabtree, LMP
• Crestview Psychological Services, P.S.
• Kerri Cunningham
• Dan A Dahlberg, LMHC
• Alizee Dalton
• Marc Joel Davis, LMP

• Optician in Lynden, WA
• Providers in Lynden, WA by specialty
• Optician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.