Lisa-joy Fuller Wall, OD in Louisburg, NC - Medicare Optometry Provider

Lisa-joy Fuller Wall, OD is a medicare enrolled "Optometrist" provider in Louisburg, North Carolina. She went to Illinois College Of Optometry At Chicago and graduated in 2005 and has 19 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Myeyedr Optometry Of North Carolina Pllc and her current practice location is 505 Retail Way Ste 118, Louisburg, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 496-1156.

Lisa-joy Fuller Wall is licensed to practice in North Carolina (license number 1998) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609899947.

Contact Information

	Lisa-joy Fuller Wall, OD
	505 Retail Way Ste 118, Louisburg, NC 27549-6480
	(919) 496-1156
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa-joy Fuller Wall
Gender	Female
Speciality	Optometry
Experience	19 Years
Location	505 Retail Way Ste 118, Louisburg, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lisa-joy Fuller Wall attended and graduated from Illinois College Of Optometry At Chicago in 2005

NPI Data:

NPI Number: 1609899947
Provider Enumeration Date: 07/26/2006
Last Update Date: 08/27/2024

Medicare PECOS Information:

PECOS PAC ID: 2567467475
Enrollment ID: I20060928000169

Medical Identifiers

Medical identifiers for Lisa-joy Fuller Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609899947	NPI	-	NPPES
5904440	Medicaid	NC
093VA	Other	NC	BLUECROSS
P00959601	Other	NC	MEDICARE RAILROAD CARRIER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	1998 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Myeyedr Optometry Of North Carolina Pllc	6608019096	135

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lisa-joy Fuller Wall allows following entities to bill medicare on her behalf.

Provider Name	Myeyedr Optometry Of North Carolina Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1023183563 PECOS PAC ID: 6608019096 Enrollment ID: O20130904000726

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa-joy Fuller Wall is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Lisa-joy Fuller Wall, OD 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899	Lisa-joy Fuller Wall, OD 505 Retail Way Ste 118, Louisburg, NC 27549-6480 Ph: (919) 496-1156

Reviews and Comments

Optometrist in Louisburg, NC

Eye Care Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 505 Retail Way, Suite 118, Louisburg, NC 27549 Phone: 919-496-1156 Fax: 919-496-1777
Coleman Harrison Lancaster Jr., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 129 Shannon Vlg, Louisburg, NC 27549 Phone: 919-496-2328
Louisburg Eye Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 129 Shannon Vlg, Louisburg, NC 27549 Phone: 919-496-2328 Fax: 919-496-6810
Myeyedr Optometrist Medicare: Not Enrolled in Medicare Practice Location: 505 Retail Way, Ste 118, Louisburg, NC 27549 Phone: 919-496-1156 Fax: 919-496-1777
Dr. William F. Stroud, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 505 Retail Way Ste 118, Louisburg, NC 27549 Phone: 919-496-1156

Lisa-joy Fuller Wall, OD - Medicare Optometrist in Louisburg, NC