Individual provider Active NPI

Lindsey Morgan Tillery, OD

  • Optometrist
  • Marksville, LA
National Provider Identifier
1225729296
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2016-962AT Issued in LA
Practice address
108 Medic Ave.
Marksville, LA 71351
Phone
(318) 487-2020
NPI assigned
May 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2016-962AT LA Primary
Optometrist 152W00000X OPC6263 FL

Addresses

Primary practice location

108 Medic Ave.
Marksville, LA 71351

Mailing address

231 Windermere Blvd
Alexandria, LA 71303-1119
Phone (318) 487-2020

Other practice location 1

231 Windermere Blvd
Alexandria, LA 71303-1119
Phone (318) 487-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230726000530 FL Practitioner - Optometry 0840651725 Reassigns benefits to 1 organization
I20240627003426 LA Practitioner - Optometry 0840651725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

607 Rue de Brille
New Iberia, LA 70563-2123
Phone (318) 487-2020

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

Merit-based Incentive Payment System (MIPS)

Final score
87.92 of 100Reported as group
Quality
78.04
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6263FLMDOptometrist
2016-962ATLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Optometrist CurrentSince Jul 1, 2023 Accepting new patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Jul 1, 2023 Accepting new patients
Alexandria Eye and Laser Center, LLC CurrentSince Apr 21, 2024 Accepting new patients
Alexandria Eye and Laser Center, LLC CurrentSince Apr 21, 2024 Accepting new patients

Locations

5555 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 585-1052

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

900 NW 17th St
Miami, FL 33136
Phone (305) 243-6605

231 Windermere Blvd
Alexandria, LA 71303
Phone (318) 445-7770

210 Serio Blvd
Ferriday, LA 71334
Phone (318) 757-3440

201 Fritz St
Jonesville, LA 71343
Phone (318) 339-9477

1008 S 6th St
Leesville, LA 71446
Phone (337) 392-1994

108 Medic Ave
Marksville, LA 71351
Phone (318) 253-9766

1310 N 19th St
Monroe, LA 71201
Phone (318) 288-2020

118 South Dr
Natchitoches, LA 71457
Phone (318) 352-0444

607 Rue de Brille
New Iberia, LA 70563
Phone (318) 367-1247

414 E 7th Ave
Oakdale, LA 71463
Phone (318) 335-3275

65 Medical Park Blvd
Pineville, LA 71360
Phone (318) 445-6363

206 Jack Miller Rd
Ville Platte, LA 70586
Phone (318) 641-2488

2818 Bonin Rd
Youngsville, LA 70592
Phone (318) 447-0395

Interoperability endpoints

  • Direct secure messaging: ltillery124308@direct.med.miami.edu

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1225729296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 WINDERMERE BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713031119",
            "telephone_number": "318-487-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MEDIC AVE.",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "71351",
            "telephone_number": "318-487-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 Windermere Blvd",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713031119",
            "country_code": "US",
            "telephone_number": "318-487-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILLERY",
        "first_name": "LINDSEY",
        "middle_name": "MORGAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "2016-962AT",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6263",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marksville, LA

Sources for this page

Verify at the official NPI Registry.