Individual provider Active NPI

Elizabeth Hayes Harvey

  • Vision Therapy Optometrist
  • Fort Bragg, CA
National Provider Identifier
1972683464
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
7736 Issued in CA
Practice address
501 S Franklin St
Fort Bragg, CA 95437-5101
Phone
(707) 964-6499
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7736 CA
Pediatric Optometrist 152WP0200X 7736 CA
Vision Therapy Optometrist 152WV0400X 7736 CA Primary

Addresses

Primary practice location

501 S Franklin St
Fort Bragg, CA 95437-5101

Mailing address

501 S Franklin St
Fort Bragg, CA 95437-5101
Phone (707) 964-6499

Other names 1

  • Dr. Lisa Hayes Harvey Professional name

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
I20040102000636 CA Practitioner - Optometry 5496653214 Practice locations: Fort Bragg, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

501 S Franklin St
Fort Bragg, CA 95437-5101
Phone (707) 964-6499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7736CAMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ries Chiropractic Associates Apc PastSince Apr 7, 2015 Accepting new patients
Lynette Kline O.D. Optometrist Past Accepting new patients

Organizations & group practices 2

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1972683464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S FRANKLIN ST",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954375101",
            "telephone_number": "707-964-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S FRANKLIN ST",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954375101",
            "telephone_number": "707-964-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "ELIZABETH",
        "middle_name": "HAYES",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7736",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "7736",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "7736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "HARVEY",
            "middle_name": "HAYES",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fort Bragg, CA

Sources for this page

Verify at the official NPI Registry.