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DR. LISA G DOMINO O.D.
NPI 1124283767
Optometrist in Ankeny, IA

Active since July 23, 2008PECOS EnrolledAccepts Medicare Assignment
2510 SW WHITE BIRCH DR STE 5, ANKENY, IA 50023(515) 450-1339(515) 964-3277 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 30, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Lisa G Domino O.d. NPPES

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

DR. LISA G DOMINO O.D. (NPI 1124283767) is an individual optometrist in Ankeny, Iowa, licensed in Iowa (002438) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2008).

NPPES Registry Identity

NPI1124283767
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. LISA G DOMINOCredential: O.D.
Location Address2510 SW WHITE BIRCH DR STE 5Ankeny, IA 50023-7171
Mailing Address2510 Sw White Birch Dr Ste 5Ankeny, IA 50023-7171 · (515) 450-1339
Phone(515) 450-1339
Fax(515) 964-3277
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2008
Enumeration DateJuly 23, 2008
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1124283767 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 IA · 002438
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.
2510 SW WHITE BIRCH DR STE 5, Ankeny, IA 50023
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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. Lisa G Domino 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 ID8123290061
PECOS Enrollment IDI20111018000844
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 50023 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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 2

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

DOMINO EYE CARE, PLLC
Optometrist
2510 SW WHITE BIRCH DR STE 5
ANKENY, IA 50023
Polk County (515) 964-5427
SARA DENISE KHAN OD
Optometrist
2510 SW WHITE BIRCH DR STE 5
ANKENY, IA 50023
Polk County (515) 964-5427

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 Lisa Domino's NPI number?

The NPI number for Lisa Domino is 1124283767. It was assigned to this individual provider in the NPPES registry on July 23, 2008.

Where is Lisa Domino located?

Lisa Domino practices at 2510 SW White Birch Dr Ste 5, Ankeny, IA 50023. The listed phone number is (515) 450-1339.

What is Lisa Domino's specialty?

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

Is Lisa Domino enrolled in Medicare?

Yes. Lisa Domino 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 Lisa Domino accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 5 other insurers list Lisa Domino 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 Lisa Domino was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.