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

Lisa La Susa, OD

Individual provider Optometrist · NPI 1730593310

Lisa La Susa, OD is an Optometry in West Bend, Wisconsin. Graduated from International American University at Puerto Rico - School of Optometry in 2013, 13 years ago. Practices with Wagnertc P C, a 3-clinician group and accepts Medicare assignment. Licensed in Texas and Wisconsin.

Years since qualifying
13
Trained at
International American University at Puerto Rico - School of Optometry
Licensed in
TX, WI
In the registry since
2014
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

1437 S Main St
West Bend, WI 53095-4931
Phone: (262) 334-1925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3336-35 (WI)
Optometrist Taxonomy 152W00000X · Licence 8496T (TX)

Record details

NPI number1730593310
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedJune 11, 2014
Last updated in NPPESJune 11, 2014

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolINTERNATIONAL AMERICAN UNIVERSITY AT PUERTO RICO - SCHOOL OF OPTOMETRY
Graduated 2013 (13 years in practice)
Group practice Wagnertc P C — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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