1. Home
  2. Directory
  3. California
  4. Santa Rosa
  5. Optometrist
  6. NPI Profile

DR. LISA JEAN QUANG OD
NPI 1447746524
Optometrist in Santa Rosa, CA

Active since July 02, 2018PECOS Enrolled
3925 OLD REDWOOD, MEDICAL OFFICE BUILDING 4, SUITE 141, SANTA ROSA, CA 95403(707) 566-5330 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 21, 2021, Feb 21, 2019, Jul 2, 2018 (3 updates tracked since 2018).

About Dr. Lisa Jean Quang Od NPPES

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

DR. LISA JEAN QUANG OD (NPI 1447746524) is an individual optometrist in Santa Rosa, California, licensed in California (33962) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447746524
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. LISA JEAN QUANGCredential: OD
Location Address3925 OLD REDWOOD, MEDICAL OFFICE BUILDING 4, SUITE 141Santa Rosa, CA 95403
Mailing Address3925 Old Redwood Hwy, Medical Office Building 4, Suite 141Santa Rosa, CA 95403-1719
Phone(707) 566-5330
Sole ProprietorNo
Enumeration DateJuly 2, 2018
Last NPPES UpdateDecember 21, 20213 updates tracked since enumeration
NPPES CertifiedDecember 21, 2021
✔ NPI 1447746524 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 CA · 33962
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.
3925 OLD REDWOOD, Santa Rosa, CA 95403
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Lisa Jean Chen Od

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 Jean Quang 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.

Medicare Billing Reassignment

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

Southern California Permanente Medical Group
295 mi
Health Maintenance Organization
9100 ROSEDALE HWY
Bakersfield, CA 93312
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1275756652 (California)
  • 5,228 clinicians in this Medicare group
NPI 1316572753 (877) 608-0044

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 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
$142.00 typical visit price
range $63.04 – $187.01
Typical copayment $35.50 (range $15.76 – $46.75)
Most-billed visit code 99204
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
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.

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 Quang's NPI number?

The NPI number for Lisa Quang is 1447746524. It was assigned to this individual provider in the NPPES registry on July 2, 2018. The provider is also known as Dr. Lisa Jean Chen Od.

Where is Lisa Quang located?

Lisa Quang practices at 3925 Old Redwood Medical Office Building 4, Suite 141, Santa Rosa, CA 95403. The listed phone number is (707) 566-5330.

What is Lisa Quang's specialty?

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

Is Lisa Quang enrolled in Medicare?

Yes. Lisa Quang is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Quang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Quang reassigns Medicare benefits to Southern California Permanente Medical Group (Bakersfield, CA). 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 Quang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Quang was last updated on December 21, 2021. 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.