Lisa a Redilla OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004125 Issued in MI

Legal business name

LISA A REDILLA OD PLLC

Practice address

29500 7 Mile Rd
Livonia, MI 48152-1910

Phone

(248) 477-2662

NPI assigned

May 2, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Lisa A Redilla, OD

Title

President

Phone

(734) 945-0555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1437441961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38197 LANCASTER ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541509",
            "telephone_number": "734-945-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29500 7 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521910",
            "telephone_number": "248-477-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA A REDILLA OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "REDILLA",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-945-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linh K Lino, NP
• Daniel H Lipnik, DDS
• Lawrence Jacob Lipnik, MD
• Katelyn A Lipp, MA, LPC, LMFT, CAADC
• Robin Leigh Lipski, D.O.
• Lisa Anne Brawley PC
• Collin Liston
• Little Lanterns Therapy LLC
• Brionna Little
• Lisa Danielle Little, COTAL

• Optometrist in Livonia, MI
• Providers in Livonia, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.