LISA WANG – Optometrist, NPI 1871015404

LISA WANG is a healthcare provider. based in Lexington, Kentucky. specializing in OPTOMETRY. They hold a License No. 2062DT (KY). The NPI Number for LISA WANG is 1871015404

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
LISA WANG
NPI
1871015404
Phone
(859) 245-2020
Address
535 Wellington Way Ste 160
Enumeration Date
14 July 2017
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5023278568
Graduation Year
2017 (9 years ago)
PAC ID
2860767548
Group Practice PAC ID
2163584624
Professional Enrollment ID
I20171005001591
Address ID
KY402225463LO7900XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

700 OPTOMETRY in KY

Provider Addresses for LISA WANG

  • 535 Wellington Way Ste 160

    Lexington, KY 405031387

    Phone: (859) 245-2020

    Type: Location

  • 1232, Sebring Lane, Beaumont Park, Lexington, Fayette County, Kentucky, 40513, United States

    LEXINGTON, KY 405131817

    Phone:

    Type: Mailing

  • Sir Barton Way, Brighton, Lexington, Fayette County, Kentucky, 40509-2429, United States

    LEXINGTON, KY 405092229

    Phone: (859) 543-0857

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $815.

Total Amount is formed as General ($815) + Research ($0) + Ownership ($0) = $815.

Last reported payment date: 2024-07-23 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($494).

Total Amount

$815

General + Research + Ownership

Payments

24

Total payment records

General Amount

$815

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-23

Latest reported date

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: 2017-10-05

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
I20171005001591IOptometryKYTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
66984Removal of cataract with insertion of prosthetic lens2,50722$0
92250Photography of the retina6058$0
99214Established patient office or other outpatient visit, 30-39 minutes2929$0
99213Established patient office or other outpatient visit, 20-29 minutes2723$0
99204New patient office or other outpatient visit, 45-59 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 40503)

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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: 2163584624View full group profile
NameSpecialtyState
O P T O M E T R YKY
O P T O M E T R YKY
O P T O M E T R YKY
O P T O M E T R YKY
O P T O M E T R YNY
O P T O M E T R YKY
O P T O M E T R YKY
O P T O M E T R YKY
O P T O M E T R YKY
O P T O M E T R YKY

Reviews

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Frequently asked questions

What is the 10-digit NPI for LISA WANG?
LISA WANG — NPI 1871015404 — is the standard way to identify this listing.
Does the file indicate LISA WANG is practicing under active NPI?
Directory data currently reports LISA WANG as active.
What is LISA WANG's primary classification?
Optometrist is the headline specialty for LISA WANG here. Clinical services aligned with this taxonomy classification.
What area does LISA WANG serve?
LISA WANG's listing highlights Lexington, Kentucky; more addresses can appear in NPPES.
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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