Organization Active NPI

Lilas Eye Care and Associates, LLC

  • Optometrist
  • Orland Park, IL
National Provider Identifier
1346586922
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010018 Issued in IL
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

Updated by the provider on Feb 28, 2013

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

Authorized official

Name
Dr. Effie Lilas, O.D.NPI 1376736769
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1376736769OtherILTYPE 1 INDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Practitioners & 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.

Verify at the official NPI Registry.