Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LISA THATCH, O.D.
ActiveDR. LISA THATCH, O.D. is a Optometrist healthcare provider located in HIGH RIDGE, Missouri. NPI 1548210032 is currently active in the NPPES registry. Verify at CMS.
Optometrist · HIGH RIDGE, MO
Registration Details
- NPI Number
- 1548210032
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 12, 2006 (20.237673583767 yrs)
- Last Updated
- Apr 12, 2019
- Licenses
-
046-009535 (IL)2003014792 (MO)
Practice Information
- Address
-
2698 GRAVOIS RDHIGH RIDGE, MO, 630492508Browse MO providers · Browse ZIP 63049
- Phone
- 6366771166
- Fax
- 6366771324
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in HIGH RIDGE, MO
| Name | Credential | NPI |
|---|---|---|
| DR. MATTHEW R LAZARUS | OD | 1629566070 |
| KAITLYN CLAIRE FINGER | OD | 1053165837 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.