Individual provider Active NPI

Lili Ngo, O.D.

  • Optometrist
  • Rockwall, TX
National Provider Identifier
1922448224
Registry record updated Jun 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8194TG Issued in TX
Practice address
2665 Market Center Dr
Rockwall, TX 75032-6563
Phone
(214) 267-9260
NPI assigned
Jul 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8194TG TX Primary

Addresses

Primary practice location

2665 Market Center Dr
Rockwall, TX 75032-6563

Mailing address

PO Box 601011
Dallas, TX 75360-1011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150706002411 TX Practitioner - Optometry 2567774409 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott a Harris PLLCGroup PAC ID 8921499948, 2 clinicians

Practice addresses (Care Compare)

660 W Campbell Rd
Suite 102
Richardson, TX 75080-3473
Phone (972) 231-3439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8194TXMDChiropractor
8194TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Steve N. Nguyen, O.D,, P.C. Optometrist CurrentSince May 27, 2015 Accepting new patients
Scott a Harris PLLC Optometrist CurrentSince Nov 18, 2021 Accepting new patients

Locations

2811 S Hampton Rd
Ste B
Dallas, TX 75224
Phone (214) 333-2020

660 W Campbell Rd
Ste 102
Richardson, TX 75080
Phone (972) 231-3439

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": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404000000000",
    "number": "1922448224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601011",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753601011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 MARKET CENTER DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326563",
            "telephone_number": "214-267-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "LILI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2014-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8194TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.