NPIMap

Organization Active NPI

Lly Vision Services Inc.

  • Optometrist
  • Mary Esther, FL
National Provider Identifier
1134499452
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2570 Issued in FL
Legal business name
LLY VISION SERVICES INC.
Practice address
300 Mary Esther Blvd
Ste. #47
Mary Esther, FL 32569-1693
Phone
(850) 664-6339
NPI assigned
Jan 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Dr. Louis Yardley Jr., O.D.
Title
President
Phone
(850) 240-2021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC2570 FL Primary

Addresses

Primary practice location

300 Mary Esther Blvd
Ste. #47
Mary Esther, FL 32569-1693

Mailing address

PO Box 5836
Destin, FL 32540-5836

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1134499452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5836",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325405836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MARY ESTHER BLVD",
            "address_2": "STE. #47",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325691693",
            "telephone_number": "850-664-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLY VISION SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "YARDLEY",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-240-2021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mary Esther, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.