DR. LISA FREDERICKSON (O.D.) – Optometrist, NPI 1972696722
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
146 OPTOMETRY in AK
Provider Addresses for DR. LISA FREDERICKSON (O.D.)
508 UPLAND ST
KENAI, AK 996118026
Phone: (907) 335-7305
Fax: (888) 491-3360
Type: Location
2202 LIGGET AVE
JOINT BASE LEWIS MCCHORD, WA 984332011
Phone: (253) 964-4140
Fax: (253) 964-1696
Type: Location
206 W Rockwell Ave
Soldotna, AK 996697439
Phone: (907) 335-7500
Type: Location
PO BOX 2409
KENAI, AK 996112409
Phone: (253) 324-8764
Type: Mailing
1314, 182nd Street Court East, Spanaway, Pierce County, Washington, 98387, United States
SPANAWAY, WA 983871917
Phone: (253) 324-8764
Fax: (253) 964-1696
Type: Mailing
PO BOX 84101
SEATTLE, WA 981245401
Phone: (907) 335-7500
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $114.
Total Amount is formed as General ($114) + Research ($0) + Ownership ($0) = $114.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Oyster Point Pharma, Inc. ($64).
Total Amount
$114
General + Research + Ownership
Payments
3
Total payment records
General Amount
$114
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Oyster Point Pharma, Inc. | $64 |
| Dompe US, Inc. | $28 |
| Alcon Vision LLC | $22 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-11-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141219001758 | I | Optometry | WA | TBD |
| I20221116002885 | I | Optometry | AK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92134 | Imaging of retina | 14 | 11 | $0 |
| 92133 | Imaging of optic nerve | 12 | 12 | $0 |
Insurance plans in this area (ZIP 99611)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OK | |
| Marriage And Family Therapist | AK | |
| Family Practice | AK | |
| Internal Medicine | TN | |
| Family Practice | AK | |
| Physical Therapist In Private Practice | AK | |
| Clinical Social Worker | AK | |
| O P T O M E T R Y | CA | |
| Physical Therapist In Private Practice | ME | |
| Physical Therapist In Private Practice | AK |
Reviews
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