Luis Arturo Antillon Jr., O.D.
Individual provider Active NPI Optometrist · Tucson, AZ
NPI 1285300970 · NPPES record last updated Aug 3, 2023
Key facts
- NPI
- 1285300970
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT-002526 (AZ)
- Practice address
- 3925 E Fort Lowell Rd
Tucson, AZ 85712-1052 - Phone
- (520) 576-5110
- NPI assigned
- Aug 21, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Catalina Eye Care PC
Practice addresses (Care Compare)
3925 E Fort Lowell Rd
Suite 100
Tucson, AZ 85712-1053
Phone (520) 576-5110
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.55 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 65.17
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210908003150 | AZ | Practitioner - Optometry | 6406252972 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catalina Eye Care PC | Optometrist | Current |
Accepting new patients |
| Catalina Eye Care PC | Current |
Accepting new patients |
Locations
3925 E Fort Lowell Rd
Tucson, AZ 85712
Phone (520) 576-5110
3925 E Fort Lowell Rd
Ste 100
Tucson, AZ 85712
Phone (520) 576-5110
75 Enterprise
Ste 200
Aliso Viejo, CA 92656
Phone (949) 688-6205
Interoperability endpoints
- lantillon@nvision.emadirect.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT-002526 | AZ | Yes |
Addresses
Primary practice location
3925 E Fort Lowell Rd
Tucson, AZ 85712-1052
Mailing address
75 Enterprise Ste 200
Aliso Viejo, CA 92656-2626
Phone (949) 688-6205
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.