Active NPI
Lilas Eye Care and Associates, LLC
- Optometrist
- Orland Park, IL
National Provider Identifier
1346586922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046010018
- Legal business name
- LILAS EYE CARE AND ASSOCIATES, LLC
- Practice address
- 14706 S la Grange Rd
Orland Park, IL 60462-3227 - Phone
- (708) 403-7895
- NPI assigned
- Dec 31, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Effie Lilas, O.D.
- Title
- Optometrist
- Phone
- (708) 935-5100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046010018 | IL | Primary |
Addresses
Primary practice location
14706 S la Grange Rd
Orland Park, IL 60462-3227
Mailing address
15509 Nolan CT
Homer Glen, IL 60491-7432
Phone (708) 403-7895
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376736769 | Other | IL | TYPE 1 INDIVIDUAL NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170517002922 | IL | Part B Supplier - Clinic/Group Practice | 6800163189 |
Receives reassigned benefits from 2 practitioners Practice locations: Orland Park, IL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362009600000",
"number": "1346586922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15509 NOLAN CT",
"city": "HOMER GLEN",
"state": "IL",
"postal_code": "604917432",
"telephone_number": "708-403-7895",
"fax_number": "708-403-9260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14706 S LA GRANGE RD",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604623227",
"telephone_number": "708-403-7895"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LILAS EYE CARE AND ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-31",
"last_updated": "2013-02-28",
"status": "A",
"authorized_official_last_name": "LILAS",
"authorized_official_first_name": "EFFIE",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "708-935-5100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "IL",
"license": "046010018",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE 1 INDIVIDUAL NPI",
"identifier": "1376736769",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.