IndividualActive
Michelle Lising
NPI 1114582004 · Optometrist · Riverside, CA
Provider details
- NPI number
- 1114582004
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1078 (NV)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Eye and Vision Services Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10800 Magnolia Ave
Riverside, CA 92505-3043
Phone: (951) 353-2000
Street-level locationGet directions
Mailing address
10800 Magnolia Ave
Riverside, CA 92505-3043
Registry dates
- Enumerated
- 2019-05-06
- Last updated
- 2021-10-13
- Certified
- 2021-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.