Individual provider Active NPI

Lisa B Chiles, O.D.

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1922077189
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1575 Issued in AZ
Practice address
1235 E Harmont Dr
Phoenix, AZ 85020-3864
Phone
(602) 331-1470
Fax
(602) 678-5819
NPI assigned
Mar 17, 2006
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001146 VA
Optometrist 152W00000X 1575 AZ Primary
Low Vision Rehabilitation Optometrist 152WL0500X 1575 VA

Addresses

Primary practice location

1235 E Harmont Dr
Phoenix, AZ 85020-3864

Mailing address

1235 E Harmont Dr
Phoenix, AZ 85020-3864
Phone (602) 331-1470

Other practice location 1

8404 E Shea Blvd
Scottsdale, AZ 85260-6658
Phone (480) 483-0711

Other identifiers 1

IdentifierTypeStateIssuer
010073685MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20071210000418 AZ Practitioner - Optometry 7810975356 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nationwide Optometry P.C.Group PAC ID 6901033075, 54 clinicians

Practice addresses (Care Compare)

2040 E Rio Salado Pkwy
Suite 120
Tempe, AZ 85288-5185
Phone (480) 966-4992

5707 W Northern Ave
Suite 106
Glendale, AZ 85301-1355
Phone (602) 512-3299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1575AZMDGeneral Practice Dentistry
0618001146VAMDOptometrist
1575VAMDLow Vision Rehabilitation Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwestern University Optometrist CurrentSince Aug 31, 2020 Accepting new patients
Valley Vision Care LLC Optometrist CurrentSince Sep 1, 2020 Accepting new patients
Midwestern University Optometrist CurrentSince Aug 31, 2020 Accepting new patients
Midwestern University Optometrist Current Accepting new patients
Nationwide Optometry P.C. Optometrist PastSince Oct 3, 2008 Accepting new patients
Nationwide Optometry P.C. Optometrist Past Accepting new patients
Emergency Medical & Surgical Specialists of Colorado LLC Past Accepting new patients
Dr Joel N. Zaba LTD Past Accepting new patients
Visionworks Inc Past Accepting new patients
Aftel & Rader, Optometrists, P.L.C. Optometrist Past Accepting new patients
Chesapeake Eye Physicians, PLC Past Accepting new patients
Dr. Kenneth a Lebow Optometrist PastSince Aug 19, 1998 Accepting new patients

Locations

19389 N 59th Ave
Glendale, AZ 85308

5865 W Utopia Rd
Glendale, AZ 85308
Phone (623) 806-7200

13945 W Grand Ave
Ste A101
Surprise, AZ 85374
Phone (623) 537-5170

26520 Network Pl
Chicago, IL 60673
Phone (630) 743-4500

Interoperability endpoints

  • Direct secure messaging: dr.lisa.chiles@direct.eyecare-partners.com
  • Direct secure messaging: lchiles19677@direct.midwestern.edu
  • Direct secure messaging: lisa.chiles.p3@direct.midwesternuniversity.nextgenshare.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1922077189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 E HARMONT DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850203864",
            "telephone_number": "602-331-1470",
            "fax_number": "602-678-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 E HARMONT DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850203864",
            "telephone_number": "602-331-1470",
            "fax_number": "602-678-5819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8404 E Shea Blvd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852606658",
            "country_code": "US",
            "telephone_number": "480-483-0711",
            "fax_number": "480-483-8535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILES",
        "first_name": "LISA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001146",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1575",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "VA",
            "license": "1575",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010073685",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.