Provider Demographics
NPI:1306064217
Name:ADAMS, LISA ELLEN (OD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:ELLEN
Last Name:ADAMS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:STERLING OPTICAL
Mailing Address - Street 2:3000 GOLDEN ROCK SHOPPING CENTER SUITE 14
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:ST. CROIX
Mailing Address - Zip Code:00820
Mailing Address - Country:VG
Mailing Address - Phone:340-773-8880
Mailing Address - Fax:340-773-8433
Practice Address - Street 1:STERLING OPTICAL 3000 GOLDEN ROCK SHOPPING CENTER
Practice Address - Street 2:SUITE 14
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820
Practice Address - Country:US
Practice Address - Phone:340-773-8880
Practice Address - Fax:340-773-8433
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VI20152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist