LISA BENNETT (NPI# 1619354743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
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 |
Street Address |
10320 N PORT WASHINGTON RD |
City | MEQUON |
State | WI |
Zip Code | 53092-5767 |
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 |
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 Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
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. |
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 |
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 |
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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.