Lisa La Susa

O.D. | Optometrist | 11+ years Exp


  
1437 S Main St, West Bend
Wisconsin, 53095-4931

 262-334-1925   Maps & Directions
Lisa La Susa is a West Bend, Wisconsin based female Optometrist with 11 years of experience in Optometry. She completed her graduation from International American University At Puerto Rico - School Of Optometry in 2013. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lisa La Susa is 3336-35 for Optometry in Wisconsin.
Lisa La Susa examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. She completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.


Complete Profile:
Lisa La Susa speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Optometry
Credentials: O.D.
Experience: 11+ years
Medical School Attended:International American University At Puerto Rico - School Of Optometry
Graduation Year:2013
Gender:Female
Accepts Medicare Assignment:Yes
Practice Address:1437 S Main St, West Bend,
Wisconsin, 53095-4931
Phone:262-334-1925
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 7517206105
Enrollment ID: I20190226001105
NPI Number: 1730593310
NPI Enumeration Date: 11 Jun, 2014
NPI Last Update On: 11 Jun, 2014

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa La Susa are as mentioned below.
License NumberSpecializationStateStatus
3336-35Optometry WisconsinPrimary
8496TOptometry TexasSecondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name with which Lisa La Susa has association with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Wagnertc P C (7719226489)4
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 1437 S Main St,
West Bend, Wisconsin
Zip: 53095-4931
Phone Number: --
Fax Number: --
Patients can reach Lisa La Susa at 1437 S Main St, West Bend, Wisconsin or can call to book an appointment on 262-334-1925. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.

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