Nirode, Lisa L

Nirode, Lisa L is an individual health care provider with primary practice located at 5555 Airport Hwy Suite 110, Toledo OH 43615-7380. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Nirode, Lisa L can be contacted via phone (419) 865-3866.

Contact Information

Primary practice address
5555 Airport Hwy Suite 110 Toledo OH 43615-7380
Fax: (419) 865-3451
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3684 T579 Ohio

Profile Details

NPI number 1528012077
LBN Legal business name Nirode, Lisa L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jan 18th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528012077 NPPES
Ohio MEDICAID 0520798

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