| Dr Lisa Renee Lagassa, OD | |
|
20525 Mack Ave, Grosse Pointe Woods, MI 48236-1655 | |
| (313) 881-6622 | |
| (313) 881-9380 |
| Full Name | Dr Lisa Renee Lagassa |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 32 Years |
| Location | 20525 Mack Ave, Grosse Pointe Woods, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720076375 | NPI | - | NPPES |
| 204683 | Other | MI | COLE PROVIDER # |
| 90-0-H2-2311-0 | Other | MI | BCBS # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901003663 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pointe Vision Care Pc | 4981620440 | 2 |
| Provider Name | Pointe Vision Care Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801830104 PECOS PAC ID: 4981620440 Enrollment ID: O20051024000613 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa Renee Lagassa, OD 42260 Dharte Ct, Clinton Township, MI 48038-6433 Ph: (586) 801-4309 | Dr Lisa Renee Lagassa, OD 20525 Mack Ave, Grosse Pointe Woods, MI 48236-1655 Ph: (313) 881-6622 |
Paul M Damlo, OD Optometrist Medicare: Medicare Enrolled Practice Location: 20525 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-881-6622 Fax: 313-881-9380 | |
Amna Vahidy, Optometrist Medicare: Medicare Enrolled Practice Location: 19173 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-882-7883 | |
Mrs. Meredith Free Carrel, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 19599 Mack Avenue, Grosse Pointe Woods, MI 48236 Phone: 313-882-9711 Fax: 313-882-9620 | |
Dr. Albert Defever, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 19329 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-881-3249 Fax: 313-881-0124 | |
Sophia Yang, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 19173 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-882-7883 | |
Dr. Krista Marie Anderson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 19637 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-881-6622 Fax: 313-881-9380 |