Matthew J Lisenby
Medical Specialty
Professional ID
- NPI: 1043516784
- PECOS ID: 1759554439
- Enrollment ID: I20120725001109
- Credential(MD, DO, DPM):
- Medical School: Pacific University - College Of Optometry
- Medical School Graduation Year: 2010
Medical Practices
- Organization Name: Vista Vision Family Eye Care Llc
- Group Practice ID assigned by PECOS: 6103082748
- Number of Group Practice member: 2
Location
- Address1: 2770 Woodgate Rd
- Address2:
- City: Montrose
- State: Colorado
- Zip Code: 81401
- Phone Number: (970)249-2330
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):