DR. LISA A DECLEMENTE O.D.
NPI 1578780250
Optometrist in New York, NY

Q: What is Lisa Declemente's NPI number?

The NPI number for Lisa Declemente is 1578780250. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Q: What is Lisa Declemente'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 Declemente was last updated on July 30, 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.

Active since April 20, 2007PECOS Enrolled

10 SHERIDAN SQ, NEW YORK, NY 10014(212) 242-6592(212) 691-3262 Get Directions Write a Review

NPPES record last updated: July 30, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Lisa A Declemente O.d. NPPES

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

DR. LISA A DECLEMENTE O.D. (NPI 1578780250) is an individual optometrist in New York, New York, licensed in New York (006687) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578780250

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. LISA A DECLEMENTECredential: O.D.

Location Address10 SHERIDAN SQNew York, NY 10014-6824

Mailing Address10 Sheridan SqNew York, NY 10014-6824 · (212) 242-6592 · Fax (212) 691-3262

Phone(212) 242-6592

Fax(212) 691-3262

Sole ProprietorNo

Enumeration DateApril 20, 2007

Last NPPES UpdateJuly 30, 2012

✔ NPI 1578780250 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 NY · 006687

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.

10 SHERIDAN SQ, New York, NY 10014

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Other Identifiers 1

Medicare UPINU98379NY

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa A Declemente O.d. 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 Reassignments

Medicare enrollment records show Lisa Declemente reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grand Central Optical Co Inc

1.9 mi

Optometrist

340 MADISON AVE
New York, NY 10173

Reassigned Medicare billing, New York enrollment
7 clinicians in this Medicare group

NPI 1649221268 (212) 599-1220

Krystal Klear Optical Inc.

5.3 mi

Optometrist

62 GRAND CENTRAL TERMINAL
New York, NY 10017

Reassigned Medicare billing, New York enrollment
6 clinicians in this Medicare group

NPI 1861529687 (212) 599-1221

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 10014 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

$150.24 typical visit price

range $65.69 – $198.19

Typical copayment $37.56 (range $16.42 – $49.54)

Most-billed visit code 99204

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

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 4

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

WEST VILLAGE EYECARE ASSOCIATES

Optometrist

10 SHERIDAN SQ
NEW YORK, NY 10014

New York County (212) 242-6592

DR. HAKIM R SERHROUCHNI O.D.

Optometrist

10 SHERIDAN SQ
NEW YORK, NY 10014

New York County (212) 242-6592

OPTOMETRIC EYE SERVICES LLC

Optometrist

10 SHERIDAN SQ
NEW YORK, NY 10014

New York County (212) 242-6592

DR. LARISSA-FRANCES D RAMILO OD

Optometrist

10 SHERIDAN SQ
NEW YORK, NY 10014

New York County (212) 242-6592

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 Declemente's NPI number?

The NPI number for Lisa Declemente is 1578780250. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Lisa Declemente located?

Lisa Declemente practices at 10 Sheridan Sq, New York, NY 10014. The listed phone number is (212) 242-6592.

What is Lisa Declemente's specialty?

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

Is Lisa Declemente enrolled in Medicare?

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

Which organizations bill Medicare for Lisa Declemente's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Declemente reassigns Medicare benefits to 2 organizations: Grand Central Optical Co Inc (New York, NY) and Krystal Klear Optical Inc. (New York, NY). Each 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 Declemente's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Declemente accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 1 other insurer list Lisa Declemente 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 Declemente was last updated on July 30, 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.