Lisa M Barry (NPI# 1174670509, PAC ID# 4183512668) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1174670509 |
| PAC ID by PECOS | 4183512668 |
| Professional Enrollment ID | I20040306000235 |
| Full Name | Lisa M Barry |
| Organization Legal Name | BLACK AND WHITE LOOK OPTICAL CORPORATION |
| Address |
15675 W 10 Mile Rd Southfield MI 48075-2188 |
| Phone Number | 2485576444 |
| Gender | F |
| Credential | OD |
| Medical School | FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY |
| Graduation Year | 1991 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7911920673 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 15675 W 10 Mile Rd, Southfield, MI 48075-2188 | 2485576444 | BLACK AND WHITE LOOK OPTICAL CORPORATION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 69% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 99% |
| Organization Legal Name | BLACK AND WHITE LOOK OPTICAL CORPORATION |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manijeh Shafiemir | Optometry | Black and White Look Optical Corporation | 15675 W 10 Mile Rd, Southfield, MI 48075-2188 |
| Alpa M Desai | Optometry | Black and White Look Optical Corporation | 15675 W 10 Mile Rd, Southfield, MI 48075-2188 |
| Dale J Malinowski | Optometry | Black and White Look Optical Corporation | 15675 W 10 Mile Rd, Southfield, MI 48075-2188 |
| Street Address |
15675 W 10 MILE RD |
| City | SOUTHFIELD |
| State | MI |
| Zip | 48075-2188 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manijeh Shafiemir | Optometry | Black and White Look Optical Corporation | 15675 W 10 Mile Rd, Southfield, MI 48075-2188 |
| Alpa M Desai | Optometry | Black and White Look Optical Corporation | 15675 W 10 Mile Rd, Southfield, MI 48075-2188 |
| Dale J Malinowski | Optometry | Black and White Look Optical Corporation | 15675 W 10 Mile Rd, Southfield, MI 48075-2188 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phyllis J Yates | Psychologist, Clinical | 3000 Town Ctr, Suite 2575, Southfield, MI 48075-1102 | |
| Josephine C Bello | Family Medicine | 25511 Southfield Rd, Suite 118, Southfield, MI 48075-1830 | |
| James G Armstrong | Thoracic Surgery | Hamid Sattar Mdpc | 25130 Southfield Rd, Suite 105, Southfield, MI 48075-1900 |
| Joanna Qiong Sattar | Nephrology | Ark Multispecialty Physicians Pllc | 25130 Southfield Rd, Suite 230, Southfield, MI 48075-1910 |
| Johnny E Robinson | Chiropractic | Robinson Chiropractic and Personal Fitness Center PC | 25130 Southfield Rd, Southfield, MI 48075-1921 |
| Yaakov G Zacks | Optometry | 16232 Sherfield Pl, Southfield, MI 48075-2061 | |
| Jessica Knopp | Clinical Social Worker | Tender Heart East Inc | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
| Amanda N Scott | Clinical Social Worker | Tender Heart LLC | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
| Joseph A Reilly | Clinical Social Worker | Tender Heart LLC | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
| Laura L Williams | Clinical Social Worker | Tender Heart LLC | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
| Find all physicians in zip 48075 | |||
| City | SOUTHFIELD |
| Zip Code | 48075 |
| Specialty | OPTOMETRY |
| City + Specialty | SOUTHFIELD + OPTOMETRY |
Please comment or provide details below to improve the information on Lisa M Barry.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.