Individual provider Active NPI

Margaret Ann Lisle, OD

  • Optometrist
  • North Vernon, IN
National Provider Identifier
1932192549
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003048A Issued in IN
Practice address
747 N State St
North Vernon, IN 47265-1044
Phone
(812) 346-8500
Fax
(812) 352-8308
NPI assigned
Aug 30, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003048A IN Primary
Optometrist 152W00000X 1414DT KY

Addresses

Primary practice location

747 N State St
North Vernon, IN 47265-1044

Mailing address

747 N State St
North Vernon, IN 47265-1044
Phone (812) 346-8500

Other identifiers 2

IdentifierTypeStateIssuer
200345210MedicaidIN
200335310AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20110923000571 IN Practitioner - Optometry 3779783667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lisle Family Eye Care IncGroup PAC ID 0648257022, 6 clinicians

Practice addresses (Care Compare)

747 N State St
Eye Care Group
North Vernon, IN 47265-1044
Phone (812) 346-8500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003048AINMDOptometrist
1414DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lisle Family Eye Care Inc Optometrist CurrentSince Nov 26, 2001 Accepting new patients
Lisle Family Eye Care Inc Optometrist CurrentSince Nov 26, 2001 Accepting new patients
Lisle Family Eye Care Inc Optometrist Past Accepting new patients

Locations

2580 Michigan Rd
Ste 2
Madison, IN 47250
Phone (812) 265-6222

2580 Michigan Rd
Ste 1
Madison, IN 47250
Phone (812) 352-6600

747 N State St
North Vernon, IN 47265
Phone (812) 346-8500

Interoperability endpoints

  • Direct secure messaging: margaret.lisle@direct.revolutionehr.com

Organizations & group practices 3

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1932192549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 N STATE ST",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "472651044",
            "telephone_number": "812-346-8500",
            "fax_number": "812-352-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 N STATE ST",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "472651044",
            "telephone_number": "812-346-8500",
            "fax_number": "812-352-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISLE",
        "first_name": "MARGARET",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003048A",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1414DT",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200345210",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200335310A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Vernon, IN

Sources for this page

Verify at the official NPI Registry.