Fishhawk Family Eyecare

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

FISHHAWK FAMILY EYECARE

Practice address

5458 Lithia Pinecrest Rd
Lithia, FL 33547-2853

Phone

(813) 689-2020

NPI assigned

Feb 7, 2013

Organization subpart

No

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

Authorized official

Name

Mary Lilly, ODNPI 1003907650

Title

President

Phone

(813) 689-2020

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Susan Lilly, O.D.

  • Optometrist
  • Riverview, FL
  • NPI 1003907650
  NPD (past) Authorized official

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1952640104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5458 LITHIA PINECREST RD",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335472853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5458 LITHIA PINECREST RD",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335472853",
            "telephone_number": "813-689-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHHAWK FAMILY EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "LILLY",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-689-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Ferrando
• Melanie Jane Fielding, RN, LM, RM
• Elisha Findley
• Isaac Fink
• Fishhawk Family Dental
• Fishhawk Modern Dentistry, PA
• Fishhawk Oral and Facial Surgery LLC
• Shad Fitzpatrick
• Five Magnolias Assisted Living
• Joshua Fleming

• Optometrist in Lithia, FL
• Providers in Lithia, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.