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DR. LISA OLECK GIBBONS O.D.
NPI 1902954092
Optometrist in Winter Park, FL

Active since January 08, 2007PECOS Enrolled
312 N PARK AVENUE, WINTER PARK, FL 32789(407) 644-5156(407) 644-5290 Get Directions Write a Review

NPPES record last updated: October 8, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Lisa Oleck Gibbons O.d. NPPES

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

DR. LISA OLECK GIBBONS O.D. (NPI 1902954092) is an individual optometrist in Winter Park, Florida, licensed in Florida (003232) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902954092
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. LISA OLECK GIBBONSCredential: O.D.
Location Address312 N PARK AVENUEWinter Park, FL 32789-3801
Mailing Address312 N Park AveWinter Park, FL 32789-3305 · (407) 644-5156 · Fax (407) 644-5290
Phone(407) 644-5156
Fax(407) 644-5290
Sole ProprietorYes
Enumeration DateJanuary 8, 2007
Last NPPES UpdateOctober 8, 2013
✔ NPI 1902954092 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 FL · 003232
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.
312 N PARK AVENUE, Winter Park, FL 32789
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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 Oleck Gibbons 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 Reassignment

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

Star Medical Fl PLLC
114 mi
Optometrist
3920 BEE RIDGE RD STE A-A
Sarasota, FL 34233
  • Reassigned Medicare billing, Florida enrollment
  • 22 clinicians in this Medicare group
NPI 1164129409 (941) 923-3411

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 32789 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 Gibbons's NPI number?

The NPI number for Lisa Gibbons is 1902954092. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Lisa Gibbons located?

Lisa Gibbons practices at 312 N Park Avenue, Winter Park, FL 32789. The listed phone number is (407) 644-5156.

What is Lisa Gibbons's specialty?

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

Is Lisa Gibbons enrolled in Medicare?

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

Which organization bills Medicare for Lisa Gibbons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Gibbons reassigns Medicare benefits to Star Medical Fl PLLC (Sarasota, FL). 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 Gibbons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Gibbons accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Lisa Gibbons 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 Gibbons was last updated on October 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.