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Individual

DR. LISA BISSESSAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D

Contact information

Practice address
3402 TECHNOLOGICAL AVE, SUITE 124, ORLANDO, FL 32817-1402
(407) 208-1890
(407) 208-1877
Mailing address
3402 TECHNOLOGICAL AVE, SUITE 124, ORLANDO, FL 32817-1402
(407) 208-1890
(407) 208-1877

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3871
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09298
MEDICAL EYE SERVICES
FL
01
100724
NVA
FL
01
13734
SVS FORD
FL
01
16919
AVESIS
FL
01
2001559460
WELLCARE HMO
FL
01
201559450
ADVANTICA EYE CARE
FL
01
201559460
CITRUS MEDICARE
FL
01
222104
COLE VISION
FL
01
24570
SPECTERA
FL
01
44732
DAVIS VISION
FL
01
59396
SAFEGUARD PPO
FL
01
921486
BLOCK VISION
FL
Enumeration date
03/19/2007
Last updated
11/17/2011
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