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DR. LISA R PETERSEN O.D.
NPI 1982917209
Optometrist in Lafayette, CO

Active since July 15, 2010PECOS EnrolledAccepts Medicare Assignment
280 EXEMPLA CIR, LAFAYETTE, CO 80026(303) 338-4545 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2021, Oct 20, 2016 (2 updates tracked since 2016).

About Dr. Lisa R Petersen O.d. NPPES

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

DR. LISA R PETERSEN O.D. (NPI 1982917209) is an individual optometrist in Lafayette, Colorado, licensed in Colorado (2798) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2008).

NPPES Registry Identity

NPI1982917209
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. LISA R PETERSENCredential: O.D.
Location Address280 EXEMPLA CIRLafayette, CO 80026-3370
Mailing Address10350 E Dakota AveDenver, CO 80247-1314
Phone(303) 338-4545
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2008
Enumeration DateJuly 15, 2010
Last NPPES UpdateJune 23, 20212 updates tracked since enumeration
NPPES CertifiedJune 23, 2021
✔ NPI 1982917209 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 CO · 2798
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.
280 EXEMPLA CIR, Lafayette, CO 80026
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Other Names 1

Former Name (1)Dr. Lisa R Craven Od

Other Identifiers 2

Other022563CO · Kaiser Commercial Number
Medicaid21351058CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lisa R Petersen O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769640853
PECOS Enrollment IDI20120221000455
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 80026 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 20

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

BRANDI D SMALLEY
General Practice
280 EXEMPLA CIR
LAFAYETTE, CO 80026
Boulder County (303) 743-5855
KRISTY LYNN FAULKNER NP
Nurse Practitioner (Family)
280 EXEMPLA CIR
LAFAYETTE, CO 80026
Boulder County (303) 338-4545
MARIKA BRIMEYER RN
Registered Nurse
280 EXEMPLA CIR
LAFAYETTE, CO 80026
Boulder County (303) 614-1400
NANCY GARLAND
Social Worker (Clinical)
280 EXEMPLA CIR
LAFAYETTE, CO 80026
Boulder County (303) 345-8156
BARBARA D MULLEN
Surgery
280 EXEMPLA CIR
LAFAYETTE, CO 80026
Boulder County (720) 536-7050
DR. JULIE A MELCHIOR
Orthopaedic Surgery
280 EXEMPLA CIR, DEPARTMENT OF ORTHOPAEDICS
LAFAYETTE, CO 80026
Boulder County (303) 338-4545
M. LISA SCHWARTZ
Specialist/Technologist Cardiovascular (Cardiovascular Invasive Specialist)
280 EXEMPLA CIR
LAFAYETTE, CO 80026
Boulder County (720) 536-6517
SHARON K BALDIZAN
Nurse's Aide
280 EXEMPLA CIR
LAFAYETTE, CO 80026
Boulder County (720) 536-7462

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 Petersen's NPI number?

The NPI number for Lisa Petersen is 1982917209. It was assigned to this individual provider in the NPPES registry on July 15, 2010. The provider is also known as Dr. Lisa R Craven Od.

Where is Lisa Petersen located?

Lisa Petersen practices at 280 Exempla Cir, Lafayette, CO 80026. The listed phone number is (303) 338-4545.

What is Lisa Petersen's specialty?

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

Is Lisa Petersen enrolled in Medicare?

Yes. Lisa Petersen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lisa Petersen was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.