MEDICARE: DR. LISA D. BERKOWITZ LANDERS O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	8670	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427118819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LISA D. BERKOWITZ LANDERS O.D.

Provider Business Mailing Address
First Line	:	2506 ASH ST
Second Line	:
City	:	PALO ALTO
State	:	CA
Zip	:	94306-1804
Country	:	US
Telephone Number	:	650-618-4220
Fax Number	:	650-618-4211

Provider Business Practice Location Address
First Line	:	2506 ASH ST
Second Line	:
City	:	PALO ALTO
State	:	CA
Zip	:	94306-1804
Country	:	US
Telephone Number	:	650-618-4220
Fax Number	:	650-618-4211

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	04/18/2025

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