Lisa Rae Kanfoush, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001382 Issued in PA

Practice address

131 Pleasant Dr
Suite #3
Aliquippa, PA 15001-1300

Phone

(724) 378-4457

Fax

(724) 378-4541

NPI assigned

Apr 26, 2006

Last updated

Dec 12, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 PA

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

Pennsylvania College of Optometry, 1993

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lisa R Kanfoush OD

  • Optometrist
  • Aliquippa, PA
  • NPI 1578032769
  NPD (past) Authorized official

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1992761092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 PLEASANT DR",
            "address_2": "SUITE #3",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150011300",
            "telephone_number": "724-378-4457",
            "fax_number": "724-378-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 PLEASANT DR",
            "address_2": "SUITE #3",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150011300",
            "telephone_number": "724-378-4457",
            "fax_number": "724-378-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANFOUSH",
        "first_name": "LISA",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Jones, PHARMD
• Joshi Womencare, PC
• Gregory Lynn Jovanelly, DMD
• Just for You, LLC
• Douglas Kaleugher, RPH
• Adria Francesca Keenan, MSCCCSLP
• Jamie Keenan
• Nathan Scott Kelley
• Robert Kelly
• Thomas Maximillian Kempen

• Optometrist in Aliquippa, PA
• Providers in Aliquippa, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.