DR. LISA MARIE MACKEY (NPI# 1982693297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982693297 |
Entity Type | Individual |
Full Name | DR. LISA MARIE MACKEY |
Credential | OD |
Practice Address |
3013 Winghaven Blvd O Fallon MO 63368-3600 |
Mailing Address |
1660 Waldens Meadow Ct Ellisville MO 63011-4737 |
Practice Telephone | 6365613937 |
Practice Fax Number | 6365614068 |
Mailing Telephone | 6364587607 |
Enumeration Date | 2005-10-19 |
Last Update Date | 2012-03-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | T03118 | MO | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 318596913 | 05 | |
MO | BCBS | 108397 | 01 |
MO | HEALTHLINK | 255611 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194296715 | Lisa Mackey | Registered Nurse | 5657 Spur Ave, Oceanside, CA 92057-5799 | 2018-12-07 |
1609317502 | Lisa Mackey | Counselor | 1811 Greenview Pl Sw Ste 110, Rochester, MN 55902-4354 | 2017-03-13 |
1528281516 | Lisa Mackey | Physical Therapy Assistant | 200 Governors Ave, Medford, MA 02155-1644 | 2007-04-10 |
1134256043 | Lisa L Mackey | Social Worker | 1800 Main St, Columbia, SC 29201-2433 | 2007-02-27 |
Street Address |
3013 WINGHAVEN BLVD |
City | O FALLON |
State | MO |
Zip Code | 63368-3600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396127593 | Andrew Toebben | Optometrist | 3013 Winghaven Blvd, O Fallon, MO 63368-3600 | 2015-06-24 |
1699903682 | Ryan D Read | Optometrist | 3013 Winghaven Blvd, O Fallon, MO 63368-3600 | 2009-06-29 |
1417085820 | Kathleen Gore Avery | Optometrist | 3013 Winghaven Blvd, O Fallon, MO 63368-3600 | 2007-02-28 |
1043380652 | Regional Eyecare Associates Inc | Optometrist | 3013 Winghaven Blvd, O Fallon, MO 63368-3600 | 2006-11-09 |
1083695803 | Matthew David Wickham | Optometrist | 3013 Winghaven Blvd, O Fallon, MO 63368-3600 | 2005-11-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134720329 | Come As You Are Counseling LLC | Counselor | 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 | 2020-11-04 |
1770124802 | Lisa N. Greer | Technician | 6911 Brassel Dr., Ofallon, MO 63368 | 2019-09-30 |
1770145716 | Halie Faye Gulley | Dentist | 3009 Hwy K, O'fallon, MO 63368 | 2019-06-29 |
1972079556 | Erin Corsi Fraundorf | Dentist | 3009 State Hwy K, O'fallon, MO 63368 | 2018-10-22 |
1427579960 | Air Evac Ems, Inc. | Ambulance | 1001 Boardwalk Springs Pl Ste 250, O Fallon, MO 63368 | 2017-07-06 |
1528507472 | Washeck Manual Therapy LLC | Clinic/Center | 3074 Winghaven Blvd, O'fallon, MO 63368 | 2017-02-13 |
1639618457 | Brittany Hogan | Physical Therapist | 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 | 2017-02-13 |
1124561469 | Cardinal Home Care LLC | Home Health | 18 Convent Garden Ct, O'fallon, MO 63368 | 2016-11-18 |
1336509272 | Sarah Marie Mudd | Counselor | 1654 Bryan Road, O'fallon, MO 63368 | 2016-03-04 |
1588023956 | Price-bourisaw Family Chiropractic | Chiropractor | 2917 State Highway K, O Fallon, MO 63368 | 2016-02-15 |
Find all providers in zip 63368 |
Taxonomy Code | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033534086 | Sherri Morris | Optometrist | 1350 W Highway 50, O Fallon, IL 62269-1615 | 2014-02-27 |
1215138805 | Sneha Lin | Optometrist | 2512 Highway K, O Fallon, MO 63368-6625 | 2007-05-30 |
1538211958 | Martin M Shulman | Optometrist | 100 W Pitman St, O Fallon, MO 63366-2819 | 2007-01-17 |
1285701581 | Charles Delano Signorelli | Optometrist | 2681 Highway K, O Fallon, MO 63366 | 2006-11-29 |
1386752681 | Kelli E Cadion Crago | Optometrist | 735 Insight Ave, O Fallon, IL 62269-2193 | 2006-08-27 |
1578515243 | Clarkson Optometry Inc | Optometrist | 933 Highway K, O Fallon, MO 63366-2910 | 2006-05-17 |
1861443079 | Chih Jen Wang | Optometrist | 1560 W Us Highway 50, O Fallon, IL 62269-1619 | 2006-05-12 |
1760450696 | John J. Konopik | Optometrist | 361 Winding Woods Ctr, O Fallon, MO 63366-4170 | 2006-03-08 |
1649263856 | Joseph P Hegyi | Optometrist | 4142 Keaton Crossing Blvd, Suite 103, O Fallon, MO 63368-8404 | 2005-08-24 |
1467459057 | David Sassouni Eghigian | Optometrist | 1003 E Wesley Dr, Ste A, O Fallon, IL 62269-6137 | 2005-06-28 |
Find all providers in O FALLON |
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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.