Active NPI
John Hunt Lillvis, M.D.
- Ophthalmology Physician
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 289495
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04876748 | Medicaid | NY |
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
Enrollment records 1
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
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| University Ophthalmology Services Inc. | Ophthalmology | Current | Accepting new patients |
| Kaleida Health | Current | 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.
-
- Ophthalmology Physician
- Amherst, NY
- NPI 1093860843
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1427007046
-
- Community/Retail Pharmacy
- Buffalo, NY
- NPI 1992540546
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.