LISA A WEBER (OD) – Optometrist, NPI 1962466102

LISA A WEBER (OD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2568 (MN). The NPI Number for LISA A WEBER (OD) is 1962466102

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
LISA A WEBER (OD)
NPI
1962466102
Phone
(612) 262-5000
Address
2925 CHICAGO AVE
Enumeration Date
14 April 2006
Last Update Date
10 November 2020

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
3206825225
Graduation Year
1996 (30 years ago)
PAC ID
5991991291
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20101129000982
Address ID
MN553021109AN440XXEXXX400

Contacts

Secure Messaging
lweber17305@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

879 OPTOMETRY in MN

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Provider Addresses for LISA A WEBER (OD)

  • Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-5000

    Type: Mailing

  • Allina Medical Clinic, 8675, Valley Creek Road, Woodbury, Washington County, Minnesota, 55125, United States

    WOODBURY, MN 551252337

    Phone: (651) 241-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $117.

Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.

Last reported payment date: 2023-01-26 • Largest payer in this snapshot: Glaukos Corporation ($117).

Total Amount

$117

General + Research + Ownership

Payments

2

Total payment records

General Amount

$117

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Glaukos Corporation$117
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: 2010-11-29

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
I20101129000982IOptometryMNTBD

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
92014Established patient complete exam of visual system227227$0
92133Imaging of optic nerve10499$0
99213Established patient office or other outpatient visit, 20-29 minutes9276$0
92083Exam of visual field with extended testing7364$0
99214Established patient office or other outpatient visit, 30-39 minutes5950$0
View full utilization report →

Insurance plans in this area (ZIP 55407)

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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: 4587573613View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to LISA A WEBER (OD)?
NPI 1962466102 is assigned to LISA A WEBER (OD) under the national enumeration system.
Is LISA A WEBER (OD)'s NPI currently valid?
The extract we use shows LISA A WEBER (OD) as active.
What kind of provider is LISA A WEBER (OD)?
The page reflects Optometrist for LISA A WEBER (OD). Clinical services aligned with this taxonomy classification.
Where is LISA A WEBER (OD)'s primary listing?
We display Minneapolis, Minnesota because that is what the record indicates for LISA A WEBER (OD).
Is LISA A WEBER (OD) a real provider?
This page reflects official NPPES data for NPI 1962466102. Always confirm identity and privileges with the practice and licensing boards.

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