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Matthew J Lisenby

  • Male

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):