Lilit Saakova, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9756T Issued in TX

Practice address

1251 E Southlake Blvd Ste 333
Southlake, TX 76092-6478

Phone

(817) 310-0289

NPI assigned

Jun 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Optometry

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

2020 EyedrGroup PAC ID 9537457189, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• 2020 Eyedr

  • Optometrist
  • Southlake, TX
  • NPI 1942754700
  Medicare reassignment Care Compare group NPD
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1104487271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 E SOUTHLAKE BLVD STE 331",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926478",
            "telephone_number": "817-668-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 E SOUTHLAKE BLVD STE 333",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926478",
            "telephone_number": "817-310-0289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2403 S Stemmons Fwy Ste 113",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750672314",
            "country_code": "US",
            "telephone_number": "972-316-1113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAAKOVA",
        "first_name": "LILIT",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9756T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney Jay Russell, DC
• Charles Byrom Russey, MD
• Philippe Richard Russian
• Marisa Nichole Rust, PMHNP
• Wallace R Ryne, O.D.
• Noor Saba
• Karthik Sabapathy, D.O.
• Tonya Paschall Sabus, O.T.R.
• Reema Sacks, PA-C
• Raphael Augustus Sadiwa, PT, DPT

• Optometrist in Southlake, TX
• Providers in Southlake, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.