Dr. Lisa M Nutt is a Gladstone, Missouri based female Optometrist with 22 years of experience in Optometry. She completed her graduation from Southern College Of Optometry in 2002. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Lisa M Nutt is 2002014342 for Optometry in Missouri. Dr. Lisa M Nutt 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:
Dr. Lisa M Nutt 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:
22+ years
Medical School Attended:
Southern College Of Optometry
Graduation Year:
2002
Gender:
Female
Accepts Medicare Assignment:
May Accept
Practice Address:
6000 N Oak Trfy Ste 101, Gladstone, Missouri, 64118-5176
Phone:
816-454-1030
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:
5698678134
Enrollment ID:
I20040130000804
NPI Number:
1780724138
NPI Enumeration Date:
07 Feb, 2007
NPI Last Update On:
06 Oct, 2015
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Lisa M Nutt are as mentioned below.
License Number
Specialization
State
Status
2002014342
Optometry
Missouri
Primary
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 Dr. Lisa M Nutt has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Glass And Anderson Od Pc (0749272656)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Lisa M Nutt such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
410039208
Other
Missouri
RAILROAD MEDICARE
30976011
Other
Missouri
BLUE CROSS
315972109
Medicaid
Missouri
431447951
Other
Missouri
TAX ID
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
6000 N Oak Trfy Ste 101, Gladstone, Missouri
Zip:
64118-5176
Phone Number:
816-454-1030
Fax Number:
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Patients can reach Dr. Lisa M Nutt at 6000 N Oak Trfy Ste 101, Gladstone, Missouri or can call to book an appointment on 816-454-1030. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.