Oscar Lillo, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13656 Issued in CA

Practice address

1801 E Tahquitz Canyon Way Ste 200
Palm Springs, CA 92262

Phone

(800) 898-2020

NPI assigned

Apr 11, 2006

Last updated

Apr 10, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in WA, HI2 enrollments

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 2

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eugene W M NG MD LLCGroup PAC ID 6507025772, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: olillo1042812@wm.providencedirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eugene W M NG MD LLC

  • Ophthalmology Physician
  • Honolulu, HI
  • NPI 1396014031

  Optometrist

  Medicare reassignment Care Compare group NPD
• Pacmed Clinics

  dba Pacific Medical Centers

  • Multi-Specialty Clinic/Center
  • Seattle, WA
  • NPI 1013061217
  Medicare reassignment NPD
• Pacmed Clinics

  • Multi-Specialty Clinic/Center
  • Renton, WA
  • NPI 1720023641
  NPD
• Pacmed Clinics

  • Multi-Specialty Clinic/Center
  • Puyallup, WA
  • NPI 1841550530
  NPD
• Retina Institute of California Medical Group, a California Medical Par

  • Ophthalmology Physician
  • Riverside, CA
  • NPI 1770976987

  Optometrist

  NPD (past)
• Glaucoma Consultants NW P.S.

  • Ophthalmology Physician
  • Seattle, WA
  • NPI 1912943721
  NPD (past)
• Hawaii Vision Institute LLC

  • Ophthalmology Physician
  • Hilo, HI
  • NPI 1720879752

  Optometrist

  NPD (past)
• Roy Bartlett DO PS

  dba Bartlett Eye and Laser Clinic

  • Ophthalmology Physician
  • Bothell, WA
  • NPI 1356551329

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1669435509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 E TAHQUITZ CANYON WAY STE 200",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627123",
            "telephone_number": "800-898-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E TAHQUITZ CANYON WAY STE 200",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92262",
            "telephone_number": "800-898-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44139 Monterey Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "92260",
            "country_code": "US",
            "telephone_number": "760-469-5195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1909 214th St SE Ste 300",
            "address_purpose": "LOCATION",
            "city": "Bothell",
            "state": "WA",
            "postal_code": "980214418",
            "country_code": "US",
            "telephone_number": "425-412-7200",
            "fax_number": "425-412-7350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Madison St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981043599",
            "country_code": "US",
            "telephone_number": "206-505-1101",
            "fax_number": "206-505-1277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "58471 29 Palms Hwy Ste 203",
            "address_purpose": "LOCATION",
            "city": "Yucca Valley",
            "state": "CA",
            "postal_code": "92284",
            "country_code": "US",
            "telephone_number": "800-898-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12910 Totem Lake Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980342954",
            "country_code": "US",
            "telephone_number": "425-814-5080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LILLO",
        "first_name": "OSCAR",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001729",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2008684",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "olillo1042812@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12910 Totem Lake Blvd NE",
            "city": "Kirkland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980342954",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "olillo1042812@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1909 214th St SE Ste 300",
            "city": "Bothell",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980214418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "olillo1042812@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1101 Madison St Ste 301",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981043599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel A, Lieberman, D.M.D
• Onnalynn Tasha Lieuallen
• Life's Journey Center, Inc.
• Camesha Latrelle Liggins, AA
• Tina Likou, PA-C
• Yea Ping Lin, PHD, MD, MPH
• Kyle Thomas Lineberry
• Nobelle Angela Lintag
• Lisa M Bach Bohler
• Michael Jeffrey Liska

• Optometrist in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.

Verify at the official NPI Registry.