MISS LISA L NIRODE (O.D.) – Optometrist, NPI 1528012077

MISS LISA L NIRODE (O.D.) is a healthcare provider. based in Perrysburg, Ohio. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 3684 T579 (OH). The NPI Number for MISS LISA L NIRODE (O.D.) is 1528012077

Main info

Female
43 Years Of Experience
Accepts Medicare Assignment
Name
MISS LISA L NIRODE (O.D.)
NPI
1528012077
Phone
(419) 865-3866
Address
28370 KENSINGTON LN STE A
Enumeration Date
20 May 2006
Last Update Date
10 March 2026

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
4198743125
Graduation Year
1983 (43 years ago)
PAC ID
3779582531
Group Practice PAC ID
2567483092
Professional Enrollment ID
I20061206000014
Address ID
OH435514180PE28370LNXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

Provider Addresses for MISS LISA L NIRODE (O.D.)

  • 28370 KENSINGTON LN STE A

    PERRYSBURG, OH 435514180

    Phone: (419) 865-3866

    Fax: (419) 865-3451

    Type: Mailing

  • 1200 S DETROIT AVE

    TOLEDO, OH 436145903

    Phone: (419) 259-2000

    Type: Location

  • 28370 Kensington Ln Ste A

    Perrysburg, OH 435514180

    Phone: (419) 874-3125

    Type: Location

  • 28370 KENSINGTON LN

    STE A

    PERRYSBURG, OH 435514180

    Phone: (419) 865-3866

    Fax: (419) 865-3451

    Type: Mailing

  • 5555, Airport Highway, Johnston Corners, Toledo, Lucas County, Ohio, 43615, United States

    SUITE 110

    TOLEDO, OH 436157380

    Phone: (419) 865-3866

    Fax: (419) 865-3451

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $167.

Total Amount is formed as General ($167) + Research ($0) + Ownership ($0) = $167.

Last reported payment date: 2024-07-19 • Largest payer in this snapshot: Optos, Inc. ($62).

Total Amount

$167

General + Research + Ownership

Payments

6

Total payment records

General Amount

$167

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-19

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: 2006-12-06

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
I20061206000014IOptometryOHTBD

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 system119118$0
92004New patient complete exam of visual system1717$0
92133Imaging of optic nerve1717$0
99213Established patient office or other outpatient visit, 20-29 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 43551)

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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: 2567483092View full group profile
NameSpecialtyState
O P H T H A L M O L O G YOH
O P T O M E T R YOH
O P T O M E T R YOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for MISS LISA L NIRODE (O.D.)?
MISS LISA L NIRODE (O.D.) — NPI 1528012077 — is the standard way to identify this listing.
Does the file indicate MISS LISA L NIRODE (O.D.) is practicing under active NPI?
Directory data currently reports MISS LISA L NIRODE (O.D.) as active.
What taxonomy line describes MISS LISA L NIRODE (O.D.)?
For research purposes, treat MISS LISA L NIRODE (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Does MISS LISA L NIRODE (O.D.) list a practice location?
Patients near Perrysburg, Ohio may find MISS LISA L NIRODE (O.D.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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