Individual provider Active NPI

Lilien Anna Vogl, O.D.

  • Optometrist
  • Avondale, AZ
National Provider Identifier
1265562995
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
989 Issued in AZ
Practice address
10750 W McDowell Rd
BLDG a #100
Avondale, AZ 85392-5960
Phone
(623) 877-3007
Fax
(623) 877-4488
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 989 AZ Primary
Optometrist 152W00000X 18002331B IN

Addresses

Primary practice location

10750 W McDowell Rd
BLDG a #100
Avondale, AZ 85392-5960

Mailing address

10750 W McDowell Rd
BLDG a #100
Avondale, AZ 85392-5960
Phone (623) 877-3007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20110117000071 AZ Practitioner - Optometry 2466437611 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002331BINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Valley Eye Care, LLC Optometrist CurrentSince Aug 5, 2019 Accepting new patients
Grayhawk Eye Center Past Accepting new patients
Lilien Vogl OD PC PastSince Sep 12, 2002 Accepting new patients

Locations

10336 W Coggins Dr
Ste A
Sun City, AZ 85351
Phone (623) 933-2013

13000 N 103rd Ave
Ste 94
Sun City, AZ 85351
Phone (623) 933-2013

10336 W Coggins Dr
Sun City, AZ 85351
Phone (623) 915-3937

Organizations & group practices 3

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1265562995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10750 W MCDOWELL RD",
            "address_2": "BLDG A #100",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925960",
            "telephone_number": "623-877-3007",
            "fax_number": "623-877-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10750 W MCDOWELL RD",
            "address_2": "BLDG A #100",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925960",
            "telephone_number": "623-877-3007",
            "fax_number": "623-877-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGL",
        "first_name": "LILIEN",
        "middle_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "989",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002331B",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.