LISA FANCIULLO O.D.
NPI 1700998671
Optometrist in West Roxbury, MA

Q: What is Lisa Fanciullo's NPI number?

The NPI number for Lisa Fanciullo is 1700998671. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Lisa Fanciullo'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 Fanciullo was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 31, 2006PECOS Enrolled

1400 VFW PKWY, WEST ROXBURY, MA 02132(617) 323-7700(857) 203-5706 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Lisa Fanciullo O.d. NPPES

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

LISA FANCIULLO O.D. (NPI 1700998671) is an individual optometrist in West Roxbury, Massachusetts, licensed in Massachusetts (3692) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700998671

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameLISA FANCIULLOCredential: O.D.

Location Address1400 VFW PKWYWest Roxbury, MA 02132-4927

Mailing Address1400 Vfw PkwyWest Roxbury, MA 02132-4927 · (617) 323-7700 · Fax (857) 203-5706

Phone(617) 323-7700

Fax(857) 203-5706

Sole ProprietorNo

Enumeration DateAugust 31, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1700998671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in MA · 3692✔ Licensed in OH · 4532 T1262

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.

1400 VFW PKWY, West Roxbury, MA 02132

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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 Fanciullo 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02132 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

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

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.