Individual provider Active NPI

John Hunt Lillvis, M.D.

  • Ophthalmology Physician
  • Buffalo, NY
National Provider Identifier
1558625293
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
289495 Issued in NY
Practice address
1176 Main St
Buffalo, NY 14209
Phone
(716) 881-7917
NPI assigned
Jun 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 289495 NY Primary

Addresses

Primary practice location

1176 Main St
Buffalo, NY 14209

Mailing address

1176 Main St
Buffalo, NY 14209-2102
Phone (716) 881-7917

Other practice location 1

301 Sterling Dr
Orchard Park, NY 14127-1570
Phone (716) 677-6500

Other practice location 2

3580 Sheridan Dr Ste 150
Buffalo, NY 14226-1645
Phone (716) 881-7900

Other identifiers 1

IdentifierTypeStateIssuer
04876748MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170713002608 NY Practitioner - Ophthalmology 9234431644 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Ophthalmology Services IncGroup PAC ID 6103888441, 17 clinicians

Practice addresses (Care Compare)

1176 Main St
Buffalo, NY 14209-2102
Phone (716) 881-7900

Merit-based Incentive Payment System (MIPS)

Final score
94.41 of 100Reported as group
Quality
85.08
Promoting interoperability
95
Improvement activities
40
Cost
78.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Dec 23, 2017 Accepting new patients
Kaleida Health Current Accepting new patients
Kaleida Health CurrentSince Jul 1, 2017 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Dec 23, 2017 Accepting new patients
University Ophthalmology Services Inc. Ophthalmology CurrentSince Aug 1, 2017 Accepting new patients
Kaleida Health CurrentSince Jul 1, 2017 Accepting new patients

Locations

100 High St
#13282
Buffalo, NY 14203

3580 Sheridan Dr
Ste 150
Buffalo, NY 14226
Phone (716) 839-4949

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

1176 Main St
Buffalo, NY 14209
Phone (716) 881-7900

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

301 Sterling Dr
Orchard Park, NY 14127
Phone (716) 677-6500

235 Windward Dr
Orchard Park, NY 14127
Phone (716) 677-6500

Organizations & group practices 6

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": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1558625293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092102",
            "telephone_number": "716-881-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14209",
            "telephone_number": "716-881-7917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Sterling Dr",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "141271570",
            "country_code": "US",
            "telephone_number": "716-677-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3580 Sheridan Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142261645",
            "country_code": "US",
            "telephone_number": "716-881-7900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LILLVIS",
        "first_name": "JOHN",
        "middle_name": "HUNT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "289495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04876748",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.