Active NPI
Janet Ann Lisak, OPHTHALMIC DISPENSER
- Optician
- Endwell, NY
National Provider Identifier
1992905863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 006184-1
- Practice address
- 527 Winston Dr
Endwell, NY 13760-2427 - Phone
- (607) 237-3746
- Fax
- (607) 798-8344
- NPI assigned
- Jul 19, 2007
- Last updated
- Jul 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 006184-1 | NY | Primary |
Addresses
Primary practice location
527 Winston Dr
Endwell, NY 13760-2427
Mailing address
527 Winston Dr
Endwell, NY 13760-2427
Phone (607) 237-3746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006184-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184803200000",
"number": "1992905863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 WINSTON DR",
"city": "ENDWELL",
"state": "NY",
"postal_code": "137602427",
"telephone_number": "607-237-3746",
"fax_number": "607-798-8344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 WINSTON DR",
"city": "ENDWELL",
"state": "NY",
"postal_code": "137602427",
"telephone_number": "607-237-3746",
"fax_number": "607-798-8344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISAK",
"first_name": "JANET",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "OPHTHALMIC DISPENSER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-19",
"last_updated": "2007-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "006184-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Endwell, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.