Individual provider Active NPI

Lily Ann Forceskie

  • Optometrist
  • Glendale, AZ
National Provider Identifier
1528759925
Registry record updated Oct 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002727 Issued in AZ
Practice address
7700 W Arrowhead Towne Ctr
Glendale, AZ 85308-8616
Phone
(623) 486-2020
NPI assigned
May 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002727 AZ Primary

Addresses

Primary practice location

7700 W Arrowhead Towne Ctr
Glendale, AZ 85308-8616

Mailing address

5959 W Utopia Rd Apt 2067
Glendale, AZ 85308-7162
Phone (907) 360-9505

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20230901002305 AZ Practitioner - Optometry 5395108609 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002727AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tom Sowash OD & Associates PC Optometrist CurrentSince Aug 21, 2023 Accepting new patients
Emergency Medical & Surgical Specialists of Colorado LLC Past Accepting new patients

Locations

917 N Promenade Pkwy
Ste 101
Casa Grande, AZ 85194
Phone (520) 836-8946

3431 W Frye Rd
Ste 1
Chandler, AZ 85226
Phone (480) 782-9380

7700 W Arrowhead Towne Ctr
Glendale, AZ 85308
Phone (623) 486-2020

7700 W Arrowhead Towne Ctr
Ste 2130
Glendale, AZ 85308
Phone (623) 486-2020

5870 E Broadway Blvd
Ste 506
Tucson, AZ 85711
Phone (520) 745-0229

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729987200000",
    "number": "1528759925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 W UTOPIA RD APT 2067",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087162",
            "telephone_number": "907-360-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 W ARROWHEAD TOWNE CTR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088616",
            "telephone_number": "623-486-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORCESKIE",
        "first_name": "LILY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-16",
        "last_updated": "2024-10-27",
        "certification_date": "2024-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "002727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.