Melvin E Lilly

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000487 Issued in PA

Practice address

744 Shenango Rd Ste 1
Beaver Falls, PA 15010-7111

Phone

(724) 846-2020

NPI assigned

Feb 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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 and National Provider Directory roles.

• Kristi K Weatherly OD LLC

  • Optometrist
  • Beaver Falls, PA
  • NPI 1700403169
  NPD

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1639142276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 SHENANGO RD STE 1",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150107111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 SHENANGO RD STE 1",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150107111",
            "telephone_number": "724-846-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLY",
        "first_name": "MELVIN",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7030745",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Lawson, PMHNP-BC
• Scott Steven Lebaron, LPC
• Concetta Leopardi
• Liberty Dialysis-Chippewa LLC
• Life Management Consultants, Inc.
• Miranda Linder, CCC-SLP
• Daya Monee Lindsey, CRNP
• John Lindsey, BS
• Stacy Lindsey, RDMS, RVT
• Charles Timothy Lipp, DMD

• Optometrist in Beaver Falls, PA
• Providers in Beaver Falls, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.