Individual
DR. LISA M NUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2002014342
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30976011
BLUE CROSS
MO
05
—
315972109
—
MO
01
—
410039208
RAILROAD MEDICARE
MO
01
—
431447951
TAX ID
MO
Enumeration date
02/07/2007
Last updated
10/06/2015
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