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Lisa Marline Wiley

Technician/Technologist, Optician in Winchester, KY. Individual provider (NPI-1).

NPI number1144950262
StatusActive
Last updated in NPPESJun 13, 2022

Details

NPI
1144950262
Entity type
Individual (NPI-1)
Name
Lisa Marline Wiley
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 13, 2022
Certification date
Jun 13, 2022
Last updated
Jun 13, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician111665KYYes

Practice location

1859 Bypass Rd
Winchester, KY 40391-2713

Phone 859-744-3705 · Fax 859-744-7463

Mailing address

1859 Bypass Rd
Winchester, KY 40391-2713

Phone 859-744-3705 · Fax 859-744-7463

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Optician providers in Winchester, KY

All 6 Optician providers in Winchester · All 653 providers in Winchester

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