Lily Mac, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 13519 Issued in CA

Practice address

1450 Tara Hills Dr
Ste D
Pinole, CA 94564-2517

Phone

(626) 282-2567

NPI assigned

Aug 4, 2008

Last updated

Feb 16, 2016By the provider in NPPES

Sex

Female

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 MA

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

Southern California College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mass Optometric Associates, PLLCGroup PAC ID 0648362442, 50 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mass Optometric Associates, PLLC

  • Optometrist
  • Malden, MA
  • NPI 1063610194
  Medicare reassignment Care Compare group NPD
• Mass Optometric Associates, PLLC

  • Optometrist
  • Attleboro, MA
  • NPI 1972059723
  NPD
• Clear Sight Optometry Corp

  • Optometrist
  • Monterey Park, CA
  • NPI 1497971899
  NPD (past)

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1508022021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 TARA HILLS DR",
            "address_2": "STE D",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642517",
            "telephone_number": "626-282-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 TARA HILLS DR",
            "address_2": "STE D",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642517",
            "telephone_number": "626-282-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAC",
        "first_name": "LILY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 13519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucky Stores II LLC (Savon Pharmacy)
• Bahama Lynch
• Brady Kenneth Lyons, DMD
• M Elder D D S a Professional Corporation
• David C Mabrie, MD
• Jonathan W Maddox, MFT
• Julia Alejandra Magana Munoz
• Diana Harris Mahar, M.D.
• Tiara Maldonaldo
• Thomas J. Mampalam, M.D.

• Optometrist in Pinole, CA
• Providers in Pinole, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.