Individual provider Active NPI

Lisa Marie Butterfield, OD

  • Optometrist
  • Warrenton, VA
National Provider Identifier
1992107254
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001711 Issued in VA
Practice address
528 Waterloo Rd
Warrenton, VA 20186-3011
Phone
(540) 347-0555
Fax
(540) 347-9198
NPI assigned
Sep 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046009563 IL
Optometrist 152W00000X OPT001548 GA
Optometrist 152W00000X 0618001711 VA Primary

Addresses

Primary practice location

528 Waterloo Rd
Warrenton, VA 20186-3011

Mailing address

2316 Wildwood Cir
Amissville, VA 20106-1884
Phone (630) 715-1421

Other practice location 1

2017 S Loudoun St
Winchester, VA 22601-3612
Phone (540) 665-0961

Other names 1

  • Ms. Lisa Butterfield Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20150616002695 VA Practitioner - Optometry 2567773609 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shannon Moore, O.D., P.C.Group PAC ID 3779815022, 3 clinicians

Practice addresses (Care Compare)

528 Waterloo Rd
Warrenton, VA 20186-3011
Phone (540) 347-0555

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT001548GAMDOptometrist
046009563ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa M Butterfield, OD, LLC CurrentSince Sep 1, 2021 Accepting new patients
Shannon Moore, O.D., P.C. Optometrist CurrentSince Nov 1, 2019 Accepting new patients
Gainesville-Haymarket Eyecare PLC Optometrist Past Accepting new patients

Locations

528 Waterloo Rd
Warrenton, VA 20186
Phone (540) 347-0555

528 Waterloo Rd
#100
Warrenton, VA 20186

2017 S Loudoun St
Winchester, VA 22601
Phone (540) 665-0255

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": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1992107254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 WILDWOOD CIR",
            "city": "AMISSVILLE",
            "state": "VA",
            "postal_code": "201061884",
            "telephone_number": "630-715-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 WATERLOO RD",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863011",
            "telephone_number": "540-347-0555",
            "fax_number": "540-347-9198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2017 S Loudoun St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226013612",
            "country_code": "US",
            "telephone_number": "540-665-0961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTTERFIELD",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-18",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009563",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001548",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BUTTERFIELD",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Warrenton, VA

Sources for this page

Verify at the official NPI Registry.