NPIMap

Organization Active NPI

Lilac Family Eye Care, PLLC

Doing business as Lilac Family Eye Care

  • Optometrist
  • Liberty Lake, WA
National Provider Identifier
1902315856
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60658528 Issued in WA
Legal business name
LILAC FAMILY EYE CARE, PLLC
Doing business as
Lilac Family Eye Care
Practice address
23505 E Appleway Ave Ste 106
Liberty Lake, WA 99019-6003
Phone
(509) 998-7127
NPI assigned
Sep 22, 2017
Last updated
Mar 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Authorized official

Name
Dr. Michelle Anne Darnell, ODNPI 1417302258
Title
Optometrist
Phone
(509) 210-0303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD60658528 WA Primary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X ODP-100362 ID
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT-OPT-LIC-2788 MT

Addresses

Primary practice location

23505 E Appleway Ave Ste 106
Liberty Lake, WA 99019-6003

Mailing address

23505 E Appleway Ave Ste 106
Liberty Lake, WA 99019-6003
Phone (509) 210-0303

Other names 1

  • Lilac Family Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

23505 E Appleway Ave
Liberty Lake, WA 99019
Phone (503) 789-8651

23505 E Appleway Ave
Ste 106
Liberty Lake, WA 99019
Phone (509) 891-2258

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1902315856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23505 E APPLEWAY AVE STE 106",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990196003",
            "telephone_number": "509-210-0303",
            "fax_number": "509-242-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23505 E APPLEWAY AVE STE 106",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990196003",
            "telephone_number": "509-998-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILAC FAMILY EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-22",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "DARNELL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "509-210-0303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60658528",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100362",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MT",
            "license": "OPT-OPT-LIC-2788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lilac Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lilac Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Liberty Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.