LISA MOFFITT OD
NPI 1104833615
Optometrist in Meadville, PA

Q: What is Lisa Moffitt's NPI number?

The NPI number for Lisa Moffitt is 1104833615. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is Lisa Moffitt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Moffitt was last updated on December 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since August 01, 2006PECOS Enrolled

16086 CONNEAUT LAKE RD, WALMART VISION CENTER, MEADVILLE, PA 16335(816) 337-4426(814) 337-4320 Get Directions Write a Review

NPPES record last updated: December 1, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Lisa Moffitt Od NPPES

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

LISA MOFFITT OD (NPI 1104833615) is an individual optometrist in Meadville, Pennsylvania, licensed in Pennsylvania (PA0EG000769) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104833615

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameLISA MOFFITTCredential: OD

Location Address16086 CONNEAUT LAKE RD, WALMART VISION CENTERMeadville, PA 16335-3884

Mailing Address30 Trinity Point Dr, Walmart Vision CenterWashington, PA 15301-2974 · (724) 229-7769 · Fax (724) 229-7792

Phone(816) 337-4426

Fax(814) 337-4320

Sole ProprietorNo

Enumeration DateAugust 1, 2006

Last NPPES UpdateDecember 1, 2016

✔ NPI 1104833615 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 · PA0EG000769

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.

16086 CONNEAUT LAKE RD, Meadville, PA 16335

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Other Identifiers 6

Other001746361 0003PA · Pa Dept Of Human Services

Other0000027186PA · Medicare

Other0017463610003Promise Welfare

Medicare UPINU75156

Other52269Davis

Other376852Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana 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 (PECOS)

Lisa Moffitt Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16335 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 11

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

TODD SEGA PHARMD.

Pharmacist