Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Lisa M. Wahl, OD

Individual provider Optometrist · NPI 1396170015

Dr. Lisa M. Wahl, OD is an Optometry in Los Angeles, California. Graduated from Southern California College of Optometry in 2013, 13 years ago. Practices with Marshall B Ketchum University, a 55-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Trained at
Southern California College of Optometry
Licensed in
CA
In the registry since
2013
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2330 W Live Oak Dr
Los Angeles, CA 90068-2530
Phone: (213) 447-6495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 14724 (CA)

Record details

NPI number1396170015
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 12, 2013
Last updated in NPPESSeptember 12, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2013 (13 years in practice)
Group practice Marshall B Ketchum University — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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