MEDICARE: DR. LISA WEBER CHRISS M.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	207W00000X	Ophthalmology Physician	ME73116	FL

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
2	68858	OTHER	FL	BCBS INDIVIDUAL ID #

General Provider Information

NPI Number	:	1730178286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LISA WEBER CHRISS M.D.

Provider Business Mailing Address
First Line	:	1925 MIZELL AVE
Second Line	:	SUITE 302
City	:	WINTER PARK
State	:	FL
Zip	:	32792-4106
Country	:	US
Telephone Number	:	407-629-6646
Fax Number	:	407-740-5089

Provider Business Practice Location Address
First Line	:	1925 MIZELL AVE
Second Line	:	SUITE 302
City	:	WINTER PARK
State	:	FL
Zip	:	32792-4106
Country	:	US
Telephone Number	:	407-629-6646
Fax Number	:	407-740-5089

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

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	07/17/2025

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