LISA DIANNE NIVEN (O.D.) – Optometrist, NPI 1801042643

LISA DIANNE NIVEN (O.D.) is a healthcare provider. based in Ft eisenhower, Georgia. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 1528 (SC). The NPI Number for LISA DIANNE NIVEN (O.D.) is 1801042643

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
LISA DIANNE NIVEN (O.D.)
NPI
1801042643
Phone
(706) 787-7155
Address
300 W HOSPITAL RD
Enumeration Date
12 August 2008
Last Update Date
1 November 2023

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
8046424339
Graduation Year
2008 (18 years ago)
PAC ID
9234433004
Group Practice PAC ID
3072770932
Professional Enrollment ID
I20160215002669
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

Provider Addresses for LISA DIANNE NIVEN (O.D.)

  • 300 W HOSPITAL RD

    FT EISENHOWER, GA 309055741

    Phone: (706) 787-7155

    Fax: (706) 787-2666

    Type: Location

  • Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States

    ATLANTA, GA 303743904

    Phone: (803) 296-7320

    Fax: (803) 296-7330

    Type: Mailing

  • 103 SALUDA RIDGE CT

    WEST COLUMBIA, SC 29169

    Phone: (803) 434-2020

    Type: Location

  • 209 SILVER MEADOW CT

    AIKEN, SC 298031658

    Phone: (225) 235-2521

    Fax: (706) 787-2666

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-02-15

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
I20160215002669IOptometrySCTBD

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 30905)

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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: 3072770932View full group profile
NameSpecialtyState
O P T O M E T R YMA
O P T O M E T R YCA
O P T O M E T R YGA
O P T O M E T R YGA
O P T O M E T R YFL
O P T O M E T R YVA
-GA
O P T O M E T R YSC
O P T O M E T R YMO

Reviews

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Frequently asked questions

Can I use this page to confirm LISA DIANNE NIVEN (O.D.)'s NPI?
Yes. LISA DIANNE NIVEN (O.D.) is listed with NPI 1801042643 in the public NPI dataset.
Does the file indicate LISA DIANNE NIVEN (O.D.) is practicing under active NPI?
Directory data currently reports LISA DIANNE NIVEN (O.D.) as active.
What healthcare role does LISA DIANNE NIVEN (O.D.) hold?
Scheduling teams often label LISA DIANNE NIVEN (O.D.) under Optometrist. Clinical services aligned with this taxonomy classification.
What address line appears for LISA DIANNE NIVEN (O.D.)?
LISA DIANNE NIVEN (O.D.)'s geographic hint is Ft Eisenhower, Georgia in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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