Matthew J Lisenby (NPI# 1043516784, PAC ID# 1759554439) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1043516784 |
| PAC ID by PECOS | 1759554439 |
| Professional Enrollment ID | I20120725001109 |
| Full Name | Matthew J Lisenby |
| Organization Legal Name | VISTA VISION FAMILY EYE CARE LLC |
| Address |
2770 Woodgate Rd Montrose CO 81401-5466 |
| Phone Number | 9702492330 |
| Gender | M |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2010 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 6103082748 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2770 Woodgate Rd, Montrose, CO 81401-5466 | 9702492330 | VISTA VISION FAMILY EYE CARE LLC |
| Organization Legal Name | VISTA VISION FAMILY EYE CARE LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abraham J Wilson | Optometry | Vista Vision Family Eye Care LLC | 2770 Woodgate Rd, Montrose, CO 81401-5466 |
| Street Address |
2770 WOODGATE RD |
| City | MONTROSE |
| State | CO |
| Zip | 81401-5466 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abraham J Wilson | Optometry | Vista Vision Family Eye Care LLC | 2770 Woodgate Rd, Montrose, CO 81401-5466 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lacey R Estes | Physician Assistant | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| Tiffany E Russell | Family Medicine | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| Theresa C Frick | Certified Nurse Midwife (cnm) | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| Mary V Mebane | Family Medicine | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| Deborah Ls Westervelt | Clinical Social Worker | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| Eric G Boschen | Optometry | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| John T Unger | Chiropractic | 201 S 3rd St, Montrose, CO 81401-3617 | |
| Keith A Lundberg | Chiropractic | 140 S 5th St, Montrose, CO 81401-3663 | |
| Sean Isaac May | Chiropractic | 164 Colorado Ave, Suite A, Montrose, CO 81401-3672 | |
| Nichole L Moorman | Clinical Social Worker | 419 N 1st St, Unit E, Montrose, CO 81401-3703 | |
| Find all physicians in zip 81401 | |||
| City | MONTROSE |
| Zip Code | 81401 |
| Specialty | OPTOMETRY |
| City + Specialty | MONTROSE + OPTOMETRY |
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| 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.