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

Lisa Bennett, MD

Individual provider Ophthalmology Physician · NPI 1619354743

Lisa Bennett, MD is an Ophthalmology in Mequon, Wisconsin. Qualified in 2015, 11 years ago. Practices with Madison Medical Affiliates Inc, a 86-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
11
Licensed in
WI
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10320 N Port Washington Rd
Mequon, WI 53092-5767
Phone: (262) 241-1919
Fax: (262) 241-9046
Show map & directions

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

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 70489 (WI)

Record details

NPI number1619354743
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 27, 2015
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024
Mailing address788 N Jefferson St Ste 300, Milwaukee, WI 53202-3710

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Madison Medical Affiliates Inc — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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