Lisa La Susa (NPI# 1730593310, PAC ID# 7517206105) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1730593310 |
| PAC ID by PECOS | 7517206105 |
| Professional Enrollment ID | I20190226001105 |
| Full Name | Lisa La Susa |
| Organization Legal Name | MOFFATT WAGNER P C |
| Address |
1508 Research Forest Dr Suite 200 Shenandoah TX 77381-4375 |
| Phone Number | 2812921600 |
| Gender | F |
| Medical School | INTERNATIONAL AMERICAN UNIVERSITY AT PUERTO RICO - SCHOOL OF OPTOMETRY |
| Graduation Year | 2013 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7719226489 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1508 Research Forest Dr, Suite 200, Shenandoah, TX 77381-4375 | 2812921600 | MOFFATT WAGNER P C |
| 6700 Woodlands Pkwy, 200 Child and Family Eye Care, The Woodlands, TX 77382-2577 | 2813634362 | MOFFATT WAGNER P C |
| Organization Legal Name | MOFFATT WAGNER P C |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexandra Marie Samuelson | Optometry | Moffatt Wagner P C | 7025 Fm 1488 Rd, Magnolia, TX 77354-4777 |
| Robyn G Kralich | Optometry | Moffatt Wagner P C | 1508 Research Forest Dr, Suite 200, Shenandoah, TX 77381-4375 |
| Troy Lamar Wagner | Optometry | Moffatt Wagner P C | 1508 Research Forest Dr, Suite 200, Shenandoah, TX 77381-4375 |
| Travis Wayne Moffatt | Optometry | Moffatt Wagner P C | 1508 Research Forest Dr, Suite 200, Shenandoah, TX 77381-4375 |
| Street Address |
1508 RESEARCH FOREST DR SUITE 200 |
| City | SHENANDOAH |
| State | TX |
| Zip | 77381-4375 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robyn G Kralich | Optometry | Moffatt Wagner P C | 1508 Research Forest Dr, Suite 200, Shenandoah, TX 77381-4375 |
| Troy Lamar Wagner | Optometry | Moffatt Wagner P C | 1508 Research Forest Dr, Suite 200, Shenandoah, TX 77381-4375 |
| Travis Wayne Moffatt | Optometry | Moffatt Wagner P C | 1508 Research Forest Dr, Suite 200, Shenandoah, TX 77381-4375 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lourdes Bosquez | Psychiatry | 9006 Forest Xing C, The Woodlands, TX 77381-1155 | |
| Jennifer C Hopkins | Sleep Medicine | 8505 Technology Forest Pl, Suite 1002, The Woodlands, TX 77381-1186 | |
| Gregg A Reger | Family Medicine | 9004 Forest Xing, D, The Woodlands, TX 77381-1193 | |
| Nihal U Siddiqui | Family Medicine | 9004 Forest Crossing Dr, Suite B, The Woodlands, TX 77381-1193 | |
| Elizabeth Michelle Baxter Shosa | Optometry | Davida A Baxter Od PC | 9004 Forest Xing, Suite A, The Woodlands, TX 77381-1193 |
| Shelly Christine Daniels | Optometry | Davida A Baxter Od PC | 9004 Forest Xing, Suite A, The Woodlands, TX 77381-1193 |
| Davida A Baxter | Optometry | Davida A Baxter Od PC | 9004 Forest Xing, Suite A, The Woodlands, TX 77381-1193 |
| Steve R Cox | General Surgery | 9100 Forest Xing, Suite C, The Woodlands, TX 77381-1194 | |
| Christian Agustin Obando | Nurse Practitioner | U S Anesthesia Partners of Texas, Pa | 9100 Forest Xing, Suite A, The Woodlands, TX 77381-1194 |
| Clifford M Kitten | Thoracic Surgery | Kds Cardiovascular Surgery Pllc | 118 Shenandoah Dr, Suite A, Shenandoah, TX 77381-1203 |
| Find all physicians in zip 77381 | |||
| City | SHENANDOAH |
| Zip Code | 77381 |
| Specialty | OPTOMETRY |
| City + Specialty | SHENANDOAH + OPTOMETRY |
Please comment or provide details below to improve the information on Lisa La Susa.
| 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.