DR. LISA MARLENE BENNETT (O.D.) – Optometrist, NPI 1285678722

DR. LISA MARLENE BENNETT (O.D.) is a healthcare provider. based in North chesterfield, Virginia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 5647 (NJ). The NPI Number for DR. LISA MARLENE BENNETT (O.D.) is 1285678722

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA MARLENE BENNETT (O.D.)
NPI
1285678722
Phone
(917) 304-7854
Address
PO BOX 73293
Enumeration Date
15 June 2006
Last Update Date
14 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5408912020
Graduation Year
1994 (32 years ago)
PAC ID
2264669944
Group Practice PAC ID
0143448456
Professional Enrollment ID
I20131231000213
Address ID
VA224072616FR5426X104X500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,052 OPTOMETRY in VA

Provider Addresses for DR. LISA MARLENE BENNETT (O.D.)

  • PO BOX 73293

    NORTH CHESTERFIELD, VA 232358029

    Phone: (917) 304-7854

    Type: Mailing

  • 5426 PATRIOT HWY

    FREDERICKSBURG, VA 224072616

    Phone: (540) 891-2020

    Fax: (540) 898-5005

    Type: Location

  • At Home, 11500, Midlothian Turnpike, North Chesterfield, Richmond, Chesterfield County, Virginia, 23235, United States

    ADJACENT TO JC PENNEY

    NORTH CHESTERFIELD, VA 232354780

    Phone: (804) 457-8733

    Type: Location

  • 8614 WESTWOOD CENTER DR FL 9

    VIENNA, VA 221822442

    Phone: (703) 847-8899

    Type: Mailing

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 $177.

Total Amount is formed as General ($177) + Research ($0) + Ownership ($0) = $177.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Alcon Vision LLC ($138).

Total Amount

$177

General + Research + Ownership

Payments

6

Total payment records

General Amount

$177

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2013-12-31

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
I20131231000213IOptometryVATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23235)

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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: 0143448456View full group profile
NameSpecialtyState
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YDC
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
-VA
O P T O M E T R YVA
-VA

Reviews

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Frequently asked questions

How do I look up DR. LISA MARLENE BENNETT (O.D.) by NPI?
Use NPI 1285678722 when you need to reference DR. LISA MARLENE BENNETT (O.D.) in forms, claims, or directories.
Is DR. LISA MARLENE BENNETT (O.D.) active in the national directory?
DR. LISA MARLENE BENNETT (O.D.)'s public NPI profile is in an active state.
What kind of provider is DR. LISA MARLENE BENNETT (O.D.)?
The page reflects Optometrist for DR. LISA MARLENE BENNETT (O.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. LISA MARLENE BENNETT (O.D.)?
The snapshot lists North Chesterfield, Virginia for DR. LISA MARLENE BENNETT (O.D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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