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

Dr. Lisa Marie Kedzuf-McGinnis, OD

Individual provider Optometrist · NPI 1134216609

Dr. Lisa Marie Kedzuf-McGinnis, OD is an Optometry in Cleveland, Oklahoma. Qualified in 2005, 21 years ago. Accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
21
Licensed in
OK
In the registry since
2006
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

107 S Broadway St
Cleveland, OK 74020-4614
Phone: (918) 358-2245
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2477 (OK)

Record details

NPI number1134216609
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedOctober 6, 2006
Last updated in NPPESJuly 6, 2022
Certification dateJuly 6, 2022

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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