Active NPI
Julia Lilly, O.D.
- Optometrist
- Wisconsin Rapids, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4005-35
- Practice address
- 4551 8TH St S
Wisconsin Rapids, WI 54494-6781 - Phone
- (715) 423-1340
- NPI assigned
- Jun 10, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4005-35 | WI | Primary |
Addresses
Primary practice location
4551 8TH St S
Wisconsin Rapids, WI 54494-6781
Mailing address
2927 George Rd Apt 101
Wisconsin Rapids, WI 54495-3272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4551 8TH St S
Suite 102
Wisconsin Rapids, WI 54494-6781
Phone (715) 423-1340
6000 Monona Dr
Suite 101
Monona, WI 53716-3329
Phone (608) 222-9420
717 S Central Ave
Marshfield, WI 54449-4106
Phone (715) 387-8608
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4005-35 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Past | Accepting new patients |
| Shoptikal LLC | Optometrist | Past | Accepting new patients |
| Shoptikal LLC | Optometrist | Past | Accepting new patients |
| Shoptikal LLC | Optometrist | Past | Accepting new patients |
| Shoptikal LLC | Optometrist | Past | Accepting new patients |
| Shoptikal LLC | Optometrist | Past | Accepting new patients |
Locations
6000 Monona Dr
Ste 101
Monona, WI 53716
Phone (608) 222-9420
101 N Western Ave
Ste 101
Waupaca, WI 54981
Phone (534) 400-2068
4551 8th St S
Ste 102
Wisconsin Rapids, WI 54494
Phone (715) 423-1340
Organizations & group practices 9
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1730921024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2927 GEORGE RD APT 101",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "544953272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4551 8TH ST S",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "544946781",
"telephone_number": "715-423-1340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILLY",
"first_name": "JULIA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-10",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "4005-35",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wisconsin Rapids, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.