Individual provider Active NPI

Lilia Babakhan

  • Corneal and Contact Management Optometrist
  • Stevenson Ranch, CA
National Provider Identifier
1033636766
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
33784 Issued in CA
Practice address
25834 The Old Rd
Stevenson Ranch, CA 91381-1710
Phone
(818) 809-7335
NPI assigned
Aug 23, 2017
Last updated
Jul 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33784TLG CA
Corneal and Contact Management Optometrist 152WC0802X 33784TLF CA
Corneal and Contact Management Optometrist 152WC0802X 33784 CA Primary

Addresses

Primary practice location

25834 The Old Rd
Stevenson Ranch, CA 91381-1710

Mailing address

18920 Bahama St
Northridge, CA 91324-3705
Phone (818) 809-7335

Other identifiers 1

IdentifierTypeStateIssuer
1033636766MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220322002431 CA Practitioner - Optometry 1456746866 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25834 The Old Rd
Stevenson Ranch, CA 91381-1710
Phone (661) 259-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33784TLGCAMDOptometrist
33784TLFCAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Future Vision Optometry Care Inc. a Professional Corporation CurrentSince Aug 15, 2024 Accepting new patients
Ophthalmology Associates of the Valley Medical Group CurrentSince Apr 1, 2022 Accepting new patients

Locations

16311 Ventura Blvd
Ste 750
Encino, CA 91436
Phone (818) 990-3623

25834 The Old Rd
Stevenson Ranch, CA 91381
Phone (661) 259-3300

7230 Medical Center Dr
Ste 300
West Hills, CA 91307
Phone (818) 346-8118

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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

Sources for this page

Verify at the official NPI Registry.