Look up the most recent NPI and PECOS records

Lisa Barry

Optometrist

Eye and Vision Services Providers

13301 Hall Rd, Shelby Township, MI 48315-5835

PECOS Enrollment

Based on the most recent information from CMS, provider Lisa Barry is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1174670509
Provider Type
Individual
Full Name
Barry, Lisa
Credential
O.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
1/5/2007
Last Updated
10/18/2010

Contact Information

Practice Location

13301 Hall Rd, Shelby Township, MI 48315-5835

(810) 726-0290

Unlisted Fax

Mailing Location

1936 Broadstone Rd, Grosse Pointe Woods, MI 48236-1953

(313) 515-3236

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 152W00000X Primary	Description Optometrist Eye and Vision Services Providers	License 4901003593 Michigan

Lisa Barry

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Charbeneau, David Patrick

Pawlowicz, Katelyn

Myeyedr Optometry Of Michigan, Llc

Svs Vision Inc

Hammond, Theodore G.

Leppek, Adrianna L.

Poggiolo, Carl Vincent

Word Optical Group Llc

Maloney, Chad M

Pscheidl, Ariel Paige