Patrick Liles, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2216 Issued in CO

Practice address

4206 North Freeway
Pueblo, CO 81008

Phone

(719) 253-2538

Fax

(719) 253-0269

NPI assigned

Sep 15, 2006

Sex

Male

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 CO

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.

• Sowash Optometry Group PC

  dba VisionWorks

  • Optometrist
  • Lakewood, CO
  • NPI 1336172055
  Medicare reassignment NPD
• Sowash Optometry Group, PC

  dba Visionworks

  • Eyewear Supplier
  • Denver, CO
  • NPI 1891404174

  Optometrist

  NPD

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841396207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 WEST AVENUE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78213",
            "telephone_number": "210-524-6803",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 NORTH FREEWAY",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81008",
            "telephone_number": "719-253-2538",
            "fax_number": "719-253-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILES",
        "first_name": "PATRICK",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loy Sherri Lightfoot
• Kimberly Annabel Likes
• Rickland Lawrence Likes, D.O.
• Shauna Likes, MPT
• Louis Lile
• Lillian Krow-Jones, LCSW
• Raymond Lilly Jr., M.D.
• Stona B Lilly, RNFA
• Vicki Lim, LMT
• Limelight Assisted Living - Pueblo LLC (Limelight at East Side Assisted Living)

• Optometrist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.