IndividualActive

Richard Lisman, M.D.,F.A.C.S

NPI 1043219900 · Ophthalmic Plastic and Reconstructive Surgery Physician · New York, NY

Provider details

NPI number: 1043219900
Entity type: Individual
Primary specialty: Ophthalmic Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.,F.A.C.S
Sex: Male
Sole proprietor: Yes
License: 1311301 (NY)

Ophthalmic Plastic and Reconstructive Surgery PhysicianPrimary207WX0200XLicense 131130 (NY)
Allopathic & Osteopathic Physicians
Specialist174400000XLicense 1311301 (NY)
Other Service Providers
Ophthalmology Physician207W00000XLicense 131130 (NY)
Allopathic & Osteopathic Physicians
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician2082S0099XLicense 131130 (NY)
Allopathic & Osteopathic Physicians

635 Park Ave

New York, NY 10021-6546

Phone: (212) 585-1405

Fax: (212) 585-1408

Approximate (ZIP-level) locationGet directions

635 Park Ave

New York, NY 10021-6546

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.