Dr. Lisa Marie Mackey is a O Fallon, Missouri based female Optometrist with 31 years of experience in Optometry. She completed her graduation from University Alabama Birmingham - School Of Optometry in 1993. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Lisa Marie Mackey is T03118 for Optometry in Missouri. Dr. Lisa Marie Mackey 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 Marie Mackey 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:
OD
Experience:
31+ years
Medical School Attended:
University Alabama Birmingham - School Of Optometry
Graduation Year:
1993
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
3013 Winghaven Blvd, O Fallon, Missouri, 63368-3600
Phone:
636-561-3937
Fax:
636-561-4068
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:
1951342385
Enrollment ID:
I20050517000123
NPI Number:
1982693297
NPI Enumeration Date:
19 Oct, 2005
NPI Last Update On:
30 Mar, 2012
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 Marie Mackey are as mentioned below.
License Number
Specialization
State
Status
T03118
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 Marie Mackey has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Regional Eyecare Associates Inc (2961443395)
14
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Lisa Marie Mackey such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
318596913
Medicaid
Missouri
255611
Other
Missouri
HEALTHLINK
108397
Other
Missouri
BCBS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1660 Waldens Meadow Ct, Ellisville, Missouri
Zip:
63011-4737
Phone Number:
636-458-7607
Fax Number:
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Patients can reach Dr. Lisa Marie Mackey at 3013 Winghaven Blvd, O Fallon, Missouri or can call to book an appointment on 636-561-3937. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.