Organization
LISA R KANFOUSH OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA RAE KANFOUSH OD (OWNER)
(724) 378-4457
Entity
Organization
Contact information
Practice address
131 PLEASANT DR STE 4U, ALIQUIPPA, PA 15001-1300
(724) 622-6467
(724) 378-4547
Mailing address
131 PLEASANT DR STE 4U, ALIQUIPPA, PA 15001-1300
(724) 622-6467
(724) 378-4547
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004329329
AETNA
PA
01
—
0009739462
AETNA
—
01
—
065944RBR
MEDICARE
PA
01
—
1003814559
UNITED HEALTH CARE
PA
01
—
1114996105
NPI
PA
01
—
11149961050
NPI
PA
01
—
1547972
GATEWAY
PA
01
—
251892272
CIGNA
PA
01
—
2792074
BLUE CROSS BLUE SHIELD
PA
01
—
312055
UPMC
PA
01
—
314110
UPMC
PA
01
—
701466
HIGHMARK
PA
01
—
92272
MEDICARE
PA
Enumeration date
11/16/2018
Last updated
11/16/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up