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

Lisa Fanciullo, OD

Individual provider Optometrist · NPI 1700998671

Lisa Fanciullo, OD is an Optometrist in West Roxbury, Massachusetts. Licensed in Massachusetts and Ohio. Registered with an NPI since 2006.

Licensed in
MA, OH
In the registry since
2006
Specialties on file
2
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

1400 Vfw Pkwy
West Roxbury, MA 02132-4927
Phone: (617) 323-7700
Fax: (857) 203-5706
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3692 (MA)
Optometrist Taxonomy 152W00000X · Licence 4532 T1262 (OH)

Record details

NPI number1700998671
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 8, 2007

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