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

Michelle Lising

Individual provider Optometrist · NPI 1114582004

Michelle Lising is an Optometry in Riverside, California. Graduated from Southern California College of Optometry in 2019, 7 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California, Nevada and Oregon.

Years since qualifying
7
Trained at
Southern California College of Optometry
Licensed in
CA, NV, OR
In the registry since
2019
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

10800 Magnolia Ave
Riverside, CA 92505-3043
Phone: (951) 353-2000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 34569 (CA)
Optometrist Taxonomy 152W00000X · Licence 1078 (NV)
Optometrist Taxonomy 152W00000X · Licence 4455 (OR)

Record details

NPI number1114582004
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 6, 2019
Last updated in NPPESOctober 13, 2021
Certification dateOctober 13, 2021
Mailing address10800 Magnolia Ave, Riverside, CA 92505-3043

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2019 (7 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Riverside