Lisa Marie Vivacqua, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.011633 Issued in IL

Practice address

850 E Golf Rd
Schaumburg, IL 60173-4502

Phone

(847) 519-1020

NPI assigned

Jun 17, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Dupage Vision Center IncGroup PAC ID 9335388347, 4 clinicians

West Point Optical GroupGroup PAC ID 9032491246, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• West Point Optical Group

  • Optometrist
  • Novi, MI
  • NPI 1831548890

  IL

  Medicare reassignment Care Compare group NPD
• Central Dupage Vision Center Inc.

  • Optometrist
  • Winfield, IL
  • NPI 1972841393
  Medicare reassignment Care Compare group
• United Eye Care Providers, LLC

  • Optometrist
  • Lemont, IL
  • NPI 1013070093
  NPD (past)
• West Point Optical Group

  • Optometrist
  • Ann Arbor, MI
  • NPI 1073983698
  NPD (past)

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1982335238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 CUMBERLAND CIR W",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073806",
            "telephone_number": "224-616-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E GOLF RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734502",
            "telephone_number": "847-519-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVACQUA",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Visionworks, Inc (Visionworks)
• Visiting Medical Doctors Inc
• Visiting Medical Physicians Inc
• Vital Care Wound Solutions Co
• Vital Signs Wellness, LLC
• VL Dental Care III (Corinium Dental)
• VM Spine Institute S.C.
• Thao Vy Vo
• Mark A Vogel, PSYD
• Rodica Voinovan, RN

• Optometrist in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.