LISA NGUYEN – Optometrist, NPI 1699495937

LISA NGUYEN is a healthcare provider. based in Holland, Michigan. specializing in OPTOMETRY. They hold a License No. OPT5644 (MA). The NPI Number for LISA NGUYEN is 1699495937

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
LISA NGUYEN
NPI
1699495937
Phone
Not provided
Address
3060 DAYBREAK LN
Enumeration Date
29 August 2022
Last Update Date
3 April 2024

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
6188762438
Graduation Year
2022 (4 years ago)
PAC ID
9638523806
Group Practice PAC ID
2860523891
Professional Enrollment ID
I20240917001916
Address ID
IL620402330GR4182XRDXX300
Telehealth
Yes

Contacts

Secure Messaging
lisa.nguyen4@va.gov
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:3State licenses:3Other namesUpdated within 12 months

1,204 OPTOMETRY in MI

Provider Addresses for LISA NGUYEN

  • 3060 DAYBREAK LN

    HOLLAND, MI 494248589

    Phone:

    Type: Mailing

  • 5838 METRO WAY SW

    WYOMING, MI 495199619

    Phone: (616) 249-5300

    Type: Location

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: 2024-09-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20230922000875IOptometryMATBD
I20240104002497IOptometryMITBD
I20240221002301IOptometryOHTBD
I20240406000289IOptometryINTBD
I20240917001916IOptometryILTBD

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
92004New patient complete exam of visual system146146$0
92250Photography of the retina121118$0
92285Photography of content of eyes6966$0
92014Established patient complete exam of visual system3837$0
92002New patient problem focused exam of visual system3535$0
View full utilization report →

Insurance plans in this area (ZIP 49424)

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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: 2860523891View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YPA
O P T O M E T R YIL

Reviews

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Frequently asked questions

What is LISA NGUYEN's NPI number?
LISA NGUYEN's NPI is 1699495937 — the number used across U.S. healthcare to identify this provider.
Is LISA NGUYEN shown as active in public data?
Registry records indicate LISA NGUYEN maintains an active NPI.
What clinical focus is listed for LISA NGUYEN?
At a glance, LISA NGUYEN is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Is LISA NGUYEN associated with Holland?
Public fields place LISA NGUYEN around Holland, Michigan. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for LISA NGUYEN is noted as August 29, 2022 where the registry provides it.

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