Lisa-joy Fuller Wall is a Louisburg, North Carolina based female Optometrist with 19 years of experience in Optometry. She completed her graduation from Illinois College Of Optometry At Chicago in 2005. 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-joy Fuller Wall is 1998 for Optometry in North Carolina. Lisa-joy Fuller Wall 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-joy Fuller Wall 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:
19+ years
Medical School Attended:
Illinois College Of Optometry At Chicago
Graduation Year:
2005
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
505 Retail Way Ste 118, Louisburg, North Carolina, 27549-6480
Phone:
919-496-1156
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:
2567467475
Enrollment ID:
I20060928000169
NPI Number:
1609899947
NPI Enumeration Date:
26 Jul, 2006
NPI Last Update On:
27 Aug, 2024
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-joy Fuller Wall are as mentioned below.
License Number
Specialization
State
Status
1998
Optometry
North Carolina
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 Lisa-joy Fuller Wall has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Myeyedr Optometry Of North Carolina Pllc (6608019096)
132
Other Medical Identifiers:
Other legacy medical identifiers associated with Lisa-joy Fuller Wall such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
5904440
Medicaid
North Carolina
093VA
Other
North Carolina
BLUECROSS
P00959601
Other
North Carolina
MEDICARE RAILROAD CARRIER
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
8614 Westwood Center Dr Fl 9, Vienna, Virginia
Zip:
22182-2442
Phone Number:
703-847-8899
Fax Number:
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Patients can reach Lisa-joy Fuller Wall at 505 Retail Way Ste 118, Louisburg, North Carolina or can call to book an appointment on 919-496-1156. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.