Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa-Joy Fuller Wall, OD

Individual provider Optometrist · NPI 1609899947

Lisa-Joy Fuller Wall, OD is an Optometry in Louisburg, North Carolina. Graduated from Illinois College of Optometry at Chicago in 2005, 21 years ago. Practices with Myeyedr Optometry of North Carolina PLLC, a 165-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
21
Trained at
Illinois College of Optometry at Chicago
Licensed in
NC
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

505 Retail Way Ste 118
Louisburg, NC 27549-6480
Phone: (919) 496-1156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2346 Walnut St, Cary, NC 27518-9210 — (919) 851-0093

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1998 (NC)

Record details

NPI number1609899947
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2005 (21 years in practice)
Group practice Myeyedr Optometry Of North Carolina Pllc — 165 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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