DR. LISA BISHOP (OD) – Optometrist, NPI 1437150448

DR. LISA BISHOP (OD) is a healthcare provider. based in St augustine, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 06018001070 (VA). The NPI Number for DR. LISA BISHOP (OD) is 1437150448

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA BISHOP (OD)
NPI
1437150448
Phone
(904) 808-7104
Address
1953 GLENFIELD CROSSING CT
Enumeration Date
2 August 2005
Last Update Date
10 January 2023

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
6304526290
Graduation Year
1992 (34 years ago)
PAC ID
9335103399
Group Practice PAC ID
9537457189
Professional Enrollment ID
I20211216000467
Address ID
TX760926478SO1251XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for DR. LISA BISHOP (OD)

  • 1953 GLENFIELD CROSSING CT

    ST AUGUSTINE, FL 320925044

    Phone: (904) 808-7104

    Fax: (904) 808-7104

    Type: Location

  • 239 W JEFFERSON BLVD

    DALLAS, TX 752084510

    Phone: (214) 943-7604

    Type: Mailing

  • 1251 E SOUTHLAKE BLVD STE 331

    SOUTHLAKE, TX 760926478

    Phone: (817) 668-6393

    Fax: (817) 524-6018

    Type: Location

  • 1953 Glenfield Crossing Ct

    St Augustine, FL 320925044

    Phone: (904) 808-7104

    Fax: (904) 808-7104

    Type: Location

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 $668.

Total Amount is formed as General ($668) + Research ($0) + Ownership ($0) = $668.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Alcon Vision LLC ($554).

Total Amount

$668

General + Research + Ownership

Payments

3

Total payment records

General Amount

$668

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-12-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211216000467IOptometryTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32092)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537457189View full group profile
NameSpecialtyState
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YIL
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX

Reviews

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Frequently asked questions

Is DR. LISA BISHOP (OD) listed with a National Provider Identifier?
Yes — DR. LISA BISHOP (OD) has NPI 1437150448 on file in the registry.
Is DR. LISA BISHOP (OD) shown as active in public data?
Registry records indicate DR. LISA BISHOP (OD) maintains an active NPI.
What expertise is attributed to DR. LISA BISHOP (OD)?
DR. LISA BISHOP (OD)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. LISA BISHOP (OD) associated with St Augustine?
Public fields place DR. LISA BISHOP (OD) around St Augustine, Florida. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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