Provider Demographics
NPI:1427557313
Name:ALMETER, LISA MARIE I
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:MARIE
Last Name:ALMETER
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13858 ROUTE 31
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:NY
Mailing Address - Zip Code:14411-9362
Mailing Address - Country:US
Mailing Address - Phone:585-589-0905
Mailing Address - Fax:585-589-0736
Practice Address - Street 1:13858 ROUTE 31
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:NY
Practice Address - Zip Code:14411-9362
Practice Address - Country:US
Practice Address - Phone:585-589-0905
Practice Address - Fax:585-589-0736
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-06
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007547-1156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician