Individual provider Active NPI

Lilian Trinh Lahoud, O.D.

  • Optometrist
  • Aurora, CO
National Provider Identifier
1891059085
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3122 Issued in CO
Practice address
3130 S Parker Rd
Aurora, CO 80014-3110
Phone
(303) 752-2662
NPI assigned
Jul 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3122 CO Primary

Addresses

Primary practice location

3130 S Parker Rd
Aurora, CO 80014-3110

Mailing address

3465 S Gaylord CT Apt B325
Englewood, CO 80113-3208

Other identifiers 1

IdentifierTypeStateIssuer
15603725MedicaidCO

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150629002077 CO Practitioner - Optometry 4284861410 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
3122COMDPediatric Sleep Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
QS Eyecare LLC Optometrist CurrentSince Feb 1, 2022 Accepting new patients

Locations

600 S Holly St
Ste 106
Denver, CO 80246
Phone (720) 295-3511

Organizations & group practices 3

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": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1891059085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 S GAYLORD CT APT B325",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 S PARKER RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143110",
            "telephone_number": "303-752-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAHOUD",
        "first_name": "LILIAN",
        "middle_name": "TRINH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "3122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15603725",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.