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DR. LEWIS E LISSES O.D.
NPI 1053382994
Optometrist in Wyoming, PA

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
1018 WYOMING AVE, WYOMING, PA 18644(570) 288-7471(570) 288-8142 Get Directions Write a Review

NPPES record last updated: July 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lewis E Lisses O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LEWIS E LISSES O.D. (NPI 1053382994) is an individual optometrist in Wyoming, Pennsylvania, licensed in Pennsylvania (OEG000522) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1985).

NPPES Registry Identity

NPI1053382994
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. LEWIS E LISSESCredential: O.D.
Location Address1018 WYOMING AVEWyoming, PA 18644-1331
Mailing Address1018 Wyoming AveWyoming, PA 18644-1331 · (570) 288-7471 · Fax (570) 288-8142
Phone(570) 288-7471
Fax(570) 288-8142
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1985
Enumeration DateJanuary 30, 2006
Last NPPES UpdateJuly 2, 2012
✔ NPI 1053382994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in PA · OEG000522
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1018 WYOMING AVE, Wyoming, PA 18644
Open in Google Maps ↗

Other Identifiers 5

Other1891849063PA · Npi Group
Medicare ID-Type UnspecifiedQPZ058746PA · Medicare Group Number
Medicare UPINT29256PA
Medicare ID-Type UnspecifiedLI121052PA
Other1053382994PA · Npi Individual

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lewis E Lisses O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062525058
PECOS Enrollment IDI20110120001044
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
140 services129 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18644 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIS CORPORATION
Durable Medical Equipment & Medical Supplies
1018 WYOMING AVE
WYOMING, PA 18644
Luzerne County (570) 288-7471

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lewis Lisses's NPI number?

The NPI number for Lewis Lisses is 1053382994. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Lewis Lisses located?

Lewis Lisses practices at 1018 Wyoming Ave, Wyoming, PA 18644. The listed phone number is (570) 288-7471.

What is Lewis Lisses's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Lewis Lisses enrolled in Medicare?

Yes. Lewis Lisses is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lewis Lisses accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 5 other insurers list Lewis Lisses as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lewis Lisses was last updated on July 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.