DR. LISA M NUTT (O.D.) – Optometrist, NPI 1780724138

DR. LISA M NUTT (O.D.) is a healthcare provider. based in Gladstone, Missouri. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2002014342 (MO). The NPI Number for DR. LISA M NUTT (O.D.) is 1780724138

Main info

Female
24 Years Of Experience
Name
DR. LISA M NUTT (O.D.)
NPI
1780724138
Phone
(816) 454-1030
Address
6000 N OAK TRFY STE 101
Enumeration Date
7 February 2007
Last Update Date
6 October 2015

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
8164541030
Graduation Year
2002 (24 years ago)
PAC ID
5698678134
Group Practice PAC ID
0749272656
Professional Enrollment ID
I20040130000804
Address ID
MO641185176GL6000XTRFY401
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

863 OPTOMETRY in MO

Provider Addresses for DR. LISA M NUTT (O.D.)

  • 6000 N OAK TRFY STE 101

    GLADSTONE, MO 641185176

    Phone: (816) 454-1030

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $377.

Total Amount is formed as General ($377) + Research ($0) + Ownership ($0) = $377.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($377).

Total Amount

$377

General + Research + Ownership

Payments

15

Total payment records

General Amount

$377

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2004-01-30

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
I20040130000804IOptometryMOTBD

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 retina187185$0
99214Established patient office or other outpatient visit, 30-39 minutes111111$0
66984Removal of cataract with insertion of prosthetic lens2012$0
99213Established patient office or other outpatient visit, 20-29 minutes2019$0
View full utilization report →

Insurance plans in this area (ZIP 64118)

Loading plans...

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: 0749272656View full group profile
NameSpecialtyState
O P T O M E T R YMO
O P T O M E T R YMO

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to DR. LISA M NUTT (O.D.)?
NPI 1780724138 is assigned to DR. LISA M NUTT (O.D.) under the national enumeration system.
Is DR. LISA M NUTT (O.D.) currently active in the NPI registry?
CMS-published data lists DR. LISA M NUTT (O.D.) as an active registrant.
Can you summarize DR. LISA M NUTT (O.D.)'s specialty in plain language?
Clinically, the directory lists DR. LISA M NUTT (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. LISA M NUTT (O.D.)'s primary listing?
We display Gladstone, Missouri because that is what the record indicates for DR. LISA M NUTT (O.D.).
How can I contact DR. LISA M NUTT (O.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

Similar Providers

Northwest Prairie View Road, Platte Gardens, Kansas City, Platte County, Missouri, 64153, United States
NPI: 1407839756
6080, North Oak Trafficway, Gladstone, Clay County, Missouri, 64118, United States
NPI: 1669455747
3800, Northeast 63rd Street, Carriage Hill, Gladstone, Clay County, Missouri, 64119, United States
NPI: 1962471474
2144 SW 36th St
NPI: 1285663336
201 E 3rd St
NPI: 1578598041
6000, North Oak Trafficway, Gladstone, Clay County, Missouri, 64118, United States
NPI: 1225043656
4304, Northeast 57th Terrace, Brook Hill, Kansas City, Clay County, Missouri, 64119, United States
NPI: 1922115583
6000 N OAK TRFY STE 101
NPI: 1538209960
3504 NW 71ST TER
NPI: 1699805218