LISA BENNETT


Address: 10320 N Port Washington Rd, Mequon, WI 53092-5767
Phone: 2622411919

LISA BENNETT (NPI# 1619354743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619354743
Entity Type Individual
Full Name LISA BENNETT
Other Name LISA W. WASIELEWSKI
Credential MD
Practice Address 10320 N Port Washington Rd
Mequon
WI 53092-5767
Mailing Address 788 N Jefferson St Ste 300
Milwaukee
WI 53202-3710
Practice Telephone 2622411919
Practice Fax Number 2622419046
Mailing Telephone 4142728950
Mailing Fax Number 4142746250
Enumeration Date 2015-04-27
Last Update Date 2019-06-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 70489 WI Allopathic & Osteopathic Physicians
N 207W00000X Ophthalmology 2016014173 MO Allopathic & Osteopathic Physicians

Other Providers LISA BENNETT

NPI Name Taxonomy Address Enumeration
1508403312 Lisa Bennett Counselor 692 Blake Ave, Brooklyn, NY 11207-4875 2019-11-30
1568932200 Lisa M Bennett Occupational Therapy Assistant 322 Kraft St, Neenah, WI 54956-4986 2018-11-26
1134514300 Lisa Marie Bennett Nurse Practitioner 1655 Harrington Park Dr, Jacksonville, FL 32225-4938 2015-04-03
1346523909 Lisa Ann Bennett Social Worker 68 Waterman Ave, Albany, NY 12205-3621 2011-09-21
1457577785 Lisa Cohen Bennett Psychologist 919 Village Center Drive Suite #2, Lafayette, CA 94549 2007-04-17
1619010303 Lisa Bennett Chiropractor 7720 W Sahara Ave Ste 104, Las Vegas, NV 89117-2754 2007-02-14
1790706349 Lisa Bennett Specialist/Technologist 1201 39th St, Washougal, WA 98671-9112 2006-07-21
1285678722 Lisa Marlene Bennett Optometrist 11500 Midlothian Tpke, Adjacent To Jc Penney, North Chesterfield, VA 23235-4780 2006-06-15
1760477947 Lisa G Bennett Nurse Practitioner 1602 Harper Rd, Beckley, WV 25801-3310 2005-09-14
1770135501 Lisa Lynn Bennett Case Manager/Care Coordinator 1320 N Morrison Blvd, Hammond, LA 70401-2242 2019-07-11

Office Location

Street Address 10320 N PORT WASHINGTON RD
City MEQUON
State WI
Zip Code 53092-5767

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922166826 James John Ivanoski Optometrist 10320 N Port Washington Rd, Mequon, WI 53092-5767 2006-12-04
1568688331 Lakeshore Eye Care Professionals, S.c. Optometrist 10320 N Port Washington Rd, Mequon, WI 53092-5767 2007-04-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942790761 Kathryn Mueller Specialist/Technologist 117 Linden Lane, Apt 7, Thiensville, WI 53092 2018-05-17
1427547082 Shopko Stores Operating Co LLC Eyewear Supplier (Equipment, not the service) 10996 N Port Washington Rd, Mequon, WI 53092 2018-05-08
1912437252 Froedtert & The Medical College of Wisconsin Community Physicians Inc Durable Medical Equipment & Medical Supplies 11430 Port Washington Road, Mequon, WI 53092 2017-06-19
1629437256 Sean S Tsang Acupuncturist 909 W. Mequon Rd., Mequon, WI 53092 2016-02-10
1497128433 Nancy Snoots Counselor 4430 W Tarrytown Ln, Mequon, WI 53092 2015-11-12
1609265214 Evan Guettel Physical Therapist 11363 N. Port Washington Road, Mequon, WI 53092 2015-01-20
1881091148 Sarah Krueger Counselor 216 N Green Bay Rd Suite 108, Thiensville, WI 53092 2014-12-01
1245667088 Lora Transportation, LLC Non-emergency Medical Transport (VAN) 1228 West Baldwin Crt., Mequon, WI 53092 2013-10-10
1710314000 Roxxi M Davis Social Worker 7113 Tamarack Ct, Mequon, WI 53092 2013-10-01
1225473713 Forefront Dermatology, S.c. Dermatology 10303 N Port Washington Rd Ste 101, Mequon, WI 53092 2013-05-09
Find all providers in zip 53092

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609023357 John E. Ridley IIi Ophthalmology 824 W Sierra Ln, Mequon, WI 53092-6037 2008-08-25
1003810458 Martha F Jay Ophthalmology 11307 N Port Washington Rd, Mequon, WI 53092-3411 2005-06-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669093308 Eye Physicians and Surgeons Sc Ophthalmology 675 W State Street, Burlington, WI 53105-2152 2020-05-05
1992350375 Summit Eye Care of Wisconsin Sc Ophthalmology 10425 W North Ave Ste 245, Wauwatosa, WI 53226-2416 2019-08-02
1912566597 William Alden Blank Ophthalmology W5843 Vista Dr, La Crosse, WI 54601-7120 2019-06-07
1962974485 Southwest Health Center, Inc. Ophthalmology 1509 Ihm St, Lancaster, WI 53813-9458 2018-12-21
1477083194 Maxwell Joseph Wingelaar Ophthalmology Uw Health University Hospital, Madison, WI 53792 2017-06-14
1770967572 Baycare Clinic LLP Ophthalmology 1603 Washington Street, Two Rivers, WI 54241 2015-07-13
1114315587 Eye Clinic of Wisconsin, Sc Ophthalmology 841 Goodnow Ave, Suite 103, Wisconsin Rapids, WI 54494-0315 2015-01-07
1164824231 Arthur Francis Garcia Ophthalmology 7025 Cedar Creek Rd, Cedarburg, WI 53012-9778 2014-09-20
1962820027 Jennifer Ciske Larson Ophthalmology 2349 Deming Way Deming Way Eye Clinic, Middleton, WI 53562 2014-04-04
1003233255 Kenneth Weinlander Ophthalmology 740 N Plankinton Ave Ste 836, Milwaukee, WI 53203-2403 2014-03-26
Find all providers with the same taxonomy

Competitor

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City MEQUON
Zip Code 53092

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Dataset Information

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.

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