DR. LISA S. GREEN (O.D.) – Optometrist, NPI 1316966047

DR. LISA S. GREEN (O.D.) is a healthcare provider. based in Blacklick, Ohio. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4691 T1466 (OH). The NPI Number for DR. LISA S. GREEN (O.D.) is 1316966047

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA S. GREEN (O.D.)
NPI
1316966047
Phone
Not provided
Address
1173 MCNEIL DR
Enumeration Date
19 July 2006
Last Update Date
6 September 2024

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7404772504
Graduation Year
1995 (31 years ago)
PAC ID
0244238996
Professional Enrollment ID
I20061114000087
Address ID
OH431131226CI600XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

Provider Addresses for DR. LISA S. GREEN (O.D.)

  • 1173 MCNEIL DR

    BLACKLICK, OH 430045020

    Phone:

    Type: Mailing

  • 1180 N COURT ST STE F

    CIRCLEVILLE, OH 431131397

    Phone: (740) 477-2504

    Fax: (740) 477-1987

    Type: Location

  • 600 N COURT ST

    CIRCLEVILLE, OH 431131226

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $90.

Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.

Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Lombart Brothers, Inc. ($50).

Total Amount

$90

General + Research + Ownership

Payments

3

Total payment records

General Amount

$90

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-24

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: 2006-11-14

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
I20061114000087IOptometryOHTBD

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 system4242$0
99213Established patient office or other outpatient visit, 20-29 minutes1916$0
92004New patient complete exam of visual system1818$0
View full utilization report →

Insurance plans in this area (ZIP 43004)

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Reviews

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Frequently asked questions

What unique ID ties claims to DR. LISA S. GREEN (O.D.)?
NPI 1316966047 is assigned to DR. LISA S. GREEN (O.D.) under the national enumeration system.
Does this profile mean DR. LISA S. GREEN (O.D.) is currently active?
Yes — DR. LISA S. GREEN (O.D.) appears active in the national provider directory.
What field does DR. LISA S. GREEN (O.D.) work in?
You can think of DR. LISA S. GREEN (O.D.) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. LISA S. GREEN (O.D.)?
The page summarizes Blacklick, Ohio for DR. LISA S. GREEN (O.D.); expand the address list for detail.
What if Blacklick, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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