LISA BARRY (O.D.) – Optometrist, NPI 1174670509

LISA BARRY (O.D.) is a healthcare provider. based in Grosse pointe woods, Michigan. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4901003593 (MI). The NPI Number for LISA BARRY (O.D.) is 1174670509

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
LISA BARRY (O.D.)
NPI
1174670509
Phone
(313) 515-3236
Address
1936 BROADSTONE RD
Enumeration Date
5 January 2007
Last Update Date
18 October 2010

Doctor Profile

Medical School Name
FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Secondary Phone
2485576444
Graduation Year
1991 (35 years ago)
PAC ID
4183512668
Group Practice PAC ID
7911920673
Professional Enrollment ID
I20040306000235
Address ID
MI480752188SO15675RDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

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Provider Addresses for LISA BARRY (O.D.)

  • 1936, Broadstone Road, Grosse Pointe Woods, Wayne County, Michigan, 48236, United States

    GROSSE POINTE WOODS, MI 482361953

    Phone: (313) 515-3236

    Type: Mailing

  • Red Wing - Shelby Township, MI, 13989, Hall Road, Shelby Charter Township, Macomb County, Michigan, 48315, United States

    SHELBY TOWNSHIP, MI 483155835

    Phone: (810) 726-0290

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $317.

Total Amount is formed as General ($317) + Research ($0) + Ownership ($0) = $317.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($170).

Total Amount

$317

General + Research + Ownership

Payments

7

Total payment records

General Amount

$317

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

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: 2004-03-06

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
I20040306000235IOptometryMITBD

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
92250Photography of the retina2121$0
92014Established patient complete exam of visual system1313$0
92004New patient complete exam of visual system1111$0
View full utilization report →

Insurance plans in this area (ZIP 48236)

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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: 7911920673View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMI

Reviews

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Frequently asked questions

What NPI should I save for LISA BARRY (O.D.)?
Save NPI 1174670509 if you need a stable reference for LISA BARRY (O.D.).
Is LISA BARRY (O.D.) active in the national directory?
LISA BARRY (O.D.)'s public NPI profile is in an active state.
What field does LISA BARRY (O.D.) work in?
You can think of LISA BARRY (O.D.) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for LISA BARRY (O.D.)?
The page summarizes Grosse Pointe Woods, Michigan for LISA BARRY (O.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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