Lilia Babakhan

Key facts

NPI

1033636766

Entity type

Individual (NPI type 1)

Primary specialty

Corneal and Contact Management Optometrist 152WC0802X

License

33784 (CA)

Practice address

25834 The Old Rd
Stevenson Ranch, CA 91381-1710

Phone

(818) 809-7335

NPI assigned

Aug 23, 2017

Sex

Female

Sole proprietor

No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Future Vision Optometry Care Inc. a Professional Corporation Health Service Clinic/Center · Stevenson Ranch, CA · NPI 1629809421
  Medicare reassignment NPD Authorized official CA
• Ophthalmology Associates of the Valley Medical Group Ophthalmology Physician · Encino, CA · NPI 1962483537
  Medicare reassignment NPD CA

Medicare Care Compare profile

Specialty

Optometry

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 19, 2024.

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1033636766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18920 BAHAMA ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243705",
            "telephone_number": "818-809-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25834 THE OLD RD",
            "city": "STEVENSON RANCH",
            "state": "CA",
            "postal_code": "913811710",
            "telephone_number": "818-809-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABAKHAN",
        "first_name": "LILIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33784TLG",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "33784TLF",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "33784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033636766",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevenson Ranch, CA

• Poneh Alavi, OD
• Mary Christine Alexander, PPS
• All Care Management Enterprise LLC
• All Care Transition Services, LLC
• Azadeh Attaran, PHARMD
• Sheri Barke, MPH, RD, CSSD
• Chanel Barritt, L.AC.
• Lynn Bates, RN, FNC
• Angeline Camille Eugenio Bautista
• Tamara Belilove, DPT, OT

All providers in Stevenson Ranch, CA · Corneal and Contact Management Optometrist in California