Liliya Vasilova, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.011184 Issued in IL

Practice address

2060 River Oaks Dr
Calumet City, IL 60409-5074

Phone

(708) 891-2004

NPI assigned

Jun 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

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.

• Visionworks, Inc.

  • Optometrist
  • Niles, IL
  • NPI 1831115906
  Medicare reassignment NPD
• Visionworks, Inc

  • Eyewear Supplier
  • Simpsonville, SC
  • NPI 1699571166
  NPD
• Consolidated Vision Group, Inc.

  • Eyewear Supplier
  • Calumet City, IL
  • NPI 1265464051
  NPD (past)

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1659866028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 W 32ND PL APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086216",
            "telephone_number": "312-675-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 RIVER OAKS DR",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095074",
            "telephone_number": "708-891-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASILOVA",
        "first_name": "LILIYA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Bassett Upchurch, LCPC
• Urban Lodge Supportive Living
• Usv Optical Inc.
• Srigurunath Vangipuram, M.D.
• Sunnette Christine Varnado-Smith, M.D., FAAP
• Victory Centre of River Oaks LLC
• Victory Pharmacy
• Vincent Ing Chiropractic & Acupuncture Inc
• Visionworks, Inc
• VJ'S Friendly Rides LLC

• Optometrist in Calumet City, IL
• Providers in Calumet City, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.