DR. LISA G. WALLACE-DAVIS OD
NPI 1356373914
Optometrist in Hampton, VA

Q: What is Lisa Wallace-davis's NPI number?

The NPI number for Lisa Wallace-davis is 1356373914. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Q: What is Lisa Wallace-davis's specialty?

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

Active since July 06, 2006PECOS Enrolled

1134 BIG BETHEL RD, HAMPTON, VA 23666(757) 827-6612(757) 827-6296 Get Directions Write a Review

NPPES record last updated: December 15, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Lisa G. Wallace-davis Od NPPES

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

DR. LISA G. WALLACE-DAVIS OD (NPI 1356373914) is an individual optometrist in Hampton, Virginia, licensed in Virginia (0618000303) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1992).

NPPES Registry Identity

NPI1356373914

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. LISA G. WALLACE-DAVISCredential: OD

Location Address1134 BIG BETHEL RDHampton, VA 23666-1906

Mailing Address1134 Big Bethel RdHampton, VA 23666-1906 · (757) 827-6612 · Fax (757) 827-6296

Phone(757) 827-6612

Fax(757) 827-6296

Sole ProprietorNo

Medical School CMSPennsylvania College Of OptometryGraduated 1992

Enumeration DateJuly 6, 2006

Last NPPES UpdateDecember 15, 2011

✔ NPI 1356373914 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 VA · 0618000303

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.

1134 BIG BETHEL RD, Hampton, VA 23666

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Other Identifiers 5

Other0618000303VA · State License

Medicaid009232583VA

Other541786245Tax Id

Medicare UPINU77738VA

Medicare PINVV3392A349VA

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 Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa G. Wallace-davis Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365410925

PECOS Enrollment IDI20040921000946

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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Wallace-davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wal-Dav Incorporated

Same address

Optometrist

1134 BIG BETHEL RD
Hampton, VA 23666

Reassigned Medicare billing, Virginia enrollment

NPI 1962540534 (757) 827-6612

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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 problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

205 services136 patients

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.

91 services88 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

63 services63 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

62 services62 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.

57 services57 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

39 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23666 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

WAL-DAV INCORPORATED

Optometrist

1134 BIG BETHEL RD
HAMPTON, VA 23666

Hampton City (757) 827-6612

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 Wallace-davis's NPI number?

The NPI number for Lisa Wallace-davis is 1356373914. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Lisa Wallace-davis located?

Lisa Wallace-davis practices at 1134 Big Bethel Rd, Hampton, VA 23666. The listed phone number is (757) 827-6612.

What is Lisa Wallace-davis's specialty?

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

Is Lisa Wallace-davis enrolled in Medicare?

Yes. Lisa Wallace-davis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Wallace-davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Wallace-davis reassigns Medicare benefits to Wal-Dav Incorporated (Hampton, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Wallace-davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Wallace-davis accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 8 other insurers list Lisa Wallace-davis 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 Wallace-davis was last updated on December 15, 2011. 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.