Individual provider Active NPI

Lilia Berenice Flores, OD

  • Optometrist
  • Dallas, TX
National Provider Identifier
1265911317
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9512T Issued in TX
Practice address
6446 Lyndon B Johnson Fwy
Dallas, TX 75240-6407
Phone
(972) 960-2020
NPI assigned
Aug 9, 2018
Last updated
Aug 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9512T TX Primary

Addresses

Primary practice location

6446 Lyndon B Johnson Fwy
Dallas, TX 75240-6407

Mailing address

2102 Inland Ave
Garden City, KS 67846-7071
Phone (620) 290-4803

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20181024000362 TX Practitioner - Optometry 6901159862 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Eye and CataractGroup PAC ID 6103165709, 3 clinicians

Practice addresses (Care Compare)

101 YMCA Dr
Suite 100
Waxahachie, TX 75165-5124
Phone (469) 505-2020

Merit-based Incentive Payment System (MIPS)

Final score
90.09 of 100Reported as group
Quality
91.87
Improvement activities
40
Cost
77.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9512TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Eye and Cataract CurrentSince Aug 1, 2022 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Aug 22, 2023 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Aug 22, 2023 Accepting new patients

Locations

6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

101 Ymca Dr
Waxahachie, TX 75165
Phone (469) 430-8375

101 Ymca Dr
Ste 100
Waxahachie, TX 75165
Phone (469) 505-2020

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

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": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1265911317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 INLAND AVE",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678467071",
            "telephone_number": "620-290-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6446 LYNDON B JOHNSON FWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406407",
            "telephone_number": "972-960-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "LILIA",
        "middle_name": "BERENICE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9512T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.