Active NPI
Lily Group
- Optometrist
- Sault Sainte Marie, MI
National Provider Identifier
1619839552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- LILY GROUP
- Practice address
- 3265 S M 129
Sault Sainte Marie, MI 49783-9393 - Phone
- (906) 635-9347
- NPI assigned
- Dec 1, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley O'Dwyer, OD
- Title
- Ceo
- Phone
- (906) 635-9347
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
3265 S M 129
Sault Sainte Marie, MI 49783-9393
Mailing address
3265 S M 129
Sault Sainte Marie, MI 49783-9393
Phone (906) 635-9347
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Indian River, MI
- NPI 1588742548
-
- Optometrist
- Fort Myers, FL
- NPI 1003918442
-
- Optometrist
- Sault Sainte Marie, MI
- NPI 1528053683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764547200000",
"number": "1619839552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3265 S M 129",
"city": "SAULT SAINTE MARIE",
"state": "MI",
"postal_code": "497839393",
"telephone_number": "906-635-9347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3265 S M 129",
"city": "SAULT SAINTE MARIE",
"state": "MI",
"postal_code": "497839393",
"telephone_number": "906-635-9347"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LILY GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-01",
"last_updated": "2025-12-01",
"certification_date": "2025-11-30",
"status": "A",
"authorized_official_last_name": "O'DWYER",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "906-635-9347",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sault Sainte Marie, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.