Luis Arturo Antillon Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-002526 Issued in AZ

Practice address

3925 E Fort Lowell Rd
Tucson, AZ 85712-1052

Phone

(520) 576-5110

NPI assigned

Aug 21, 2021

Last updated

Aug 3, 2023By the provider in NPPES

Sex

Male

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 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

Specialty

Optometry

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Catalina Eye Care PCGroup PAC ID 2860553849, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.55 of 100Reported as group

Quality

100

Improvement activities

40

Cost

65.17

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lantillon@nvision.emadirect.md

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.

• Catalina Eye Care PC

  • Ophthalmology Physician
  • Tucson, AZ
  • NPI 1760635577

  Optometrist

  Medicare reassignment Care Compare group NPD
• Catalina Eye Care PC

  • Eyewear Supplier
  • Tucson, AZ
  • NPI 1134427164
  NPD

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

{
    "created_epoch": "1629504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1285300970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 ENTERPRISE STE 200",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562626",
            "telephone_number": "949-688-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 E FORT LOWELL RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121052",
            "telephone_number": "520-576-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTILLON",
        "first_name": "LUIS",
        "middle_name": "ARTURO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-21",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony W. Gish O.D., P.C.
• Barbara A Anthony
• Erin Marie Anthony
• Michelle Robert Anthony
• Rosemarie Anthony
• Jessi Lin Antle-Williams, LPC-23028
• Kyle Antle, PT, DPT
• Rein Anton, MD
• Jessica Antonel
• Sandra K Antoniak, M.D.

• Optometrist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.