MRS. LISA D CREIGHTON (NPI# 1902975915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902975915 |
| Entity Type | Individual |
| Full Name | MRS. LISA D CREIGHTON |
| Practice Address |
605 Wood Creek Dr Lynden WA 98264-1107 |
| Practice Telephone | 3695104432 |
| Practice Fax Number | 3603180822 |
| Mailing Telephone | 3605104432 |
| Mailing Fax Number | 3603180822 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
DO00001440 | WA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2031342 | 05 |
| Street Address |
605 WOOD CREEK DR |
| City | LYNDEN |
| State | WA |
| Zip Code | 98264-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972805406 | Mobile Eyeworks LLC | Eyewear Supplier (Equipment, not the service) | 605 Wood Creek Dr, Lynden, WA 98264-1107 | 2010-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760041412 | Family Care Network, Pllc | Family Medicine | 1610 Grover St., Ste. D-1, Lynden, WA 98264 | 2019-06-06 |
| 1619499753 | David Michael Grambo | Physical Therapist | 8862 Bender Rd #101, Lynden, WA 98264 | 2017-07-11 |
| 1144778317 | Shawn Hofing | Counselor | 709 Front St, Lynden, WA 98264 | 2016-09-16 |
| 1295151900 | Duane Korthuis | Specialist/Technologist | 1201 Bradley Rd., Lynden High School, Lynden, WA 98264 | 2014-03-06 |
| 1255649869 | James Kimo Jandoc | Physical Medicine & Rehabilitation | 1610 Grover St Ste C3, Lynden, WA 98264 | 2010-09-16 |
| 1417288101 | Amanda Shannon | Counselor | 506 Grover St Ste 112, Lynden, WA 98264 | 2010-01-20 |
| 1033349048 | Brenda Jean Jensen | Massage Therapist | 104 Grover St, Lynden, WA 98264 | 2009-07-24 |
| 1295980704 | Jeannett M. Penner | Physical Therapist | 8862 Bender Road, Suite 101, Lynden, WA 98264 | 2008-11-25 |
| 1992917884 | Olson Family Chiropractic, Inc | Chiropractor | 8304 Guide Meridian Rd., Lynden, WA 98264 | 2007-05-04 |
| 1477678209 | Lynden Family Chiropractic LLC | Chiropractor | 105-5th Street, Suite 105, Lynden, WA 98264 | 2007-03-20 |
| Find all providers in zip 98264 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358424 | Amy King | Technician/Technologist | 111 E North Bend Way Ste A, North Bend, WA 98045-8152 | 2020-02-14 |
| 1477115863 | Nicole Ann Hanby | Technician/Technologist | 4325 University Way Ne, Seattle, WA 98105-5808 | 2019-07-05 |
| 1033772629 | Margaret Wilder Burke | Technician/Technologist | 2718 Patton St, Bellingham, WA 98225-1545 | 2019-04-18 |
| 1750846093 | Rebecca E Doherty | Technician/Technologist | 216 E 5th St Ste A, Port Angeles, WA 98362-3008 | 2019-01-31 |
| 1538641535 | Rebecca Swislow | Technician/Technologist | 20627 59th Dr Ne, Arlington, WA 98223-8287 | 2018-09-05 |
| 1588143986 | Robin Nordlum | Technician/Technologist | 814 Ne 123rd Ave, Vancouver, WA 98684-5842 | 2018-08-07 |
| 1174016943 | National Vision, Inc. | Technician/Technologist | 15015 Main St Ste 104, Bellevue, WA 98007-5229 | 2018-06-07 |
| 1285158923 | Josh Butler | Technician/Technologist | 1718 Sumner Ave, Aberdeen, WA 98520 | 2017-08-02 |
| 1295181626 | Lisa D Henry | Technician/Technologist | 620 Se Everett Mall Way Ste 320, Everett, WA 98208-3279 | 2016-05-04 |
| 1104285311 | Rachel Crites | Technician/Technologist | 317 N Pearl St, Ellensburg, WA 98926-3363 | 2016-02-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. LISA D CREIGHTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.