Organization Active NPI

Lily Vision PLLC

  • Optometrist
  • Rosharon, TX
National Provider Identifier
1982125316
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LILY VISION PLLC
Practice address
3331 Meridiana Parkway
Suite 800
Rosharon, TX 77583
Phone
(346) 522-2015
NPI assigned
Jul 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Authorized official

Name
Dr. Hong Ly, O.D.NPI 1265814305
Title
Optometrist
Phone
(346) 522-2015

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3331 Meridiana Parkway
Suite 800
Rosharon, TX 77583

Mailing address

3331 Meridiana Parkway
Suite 800
Rosharon, TX 77583
Phone (346) 522-2015

Other names 1

  • Today's Vision Manvel Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171018001865 TX Part B Supplier - Clinic/Group Practice 0547536518 Receives reassigned benefits from 3 practitioners
Practice locations: Rosharon, TX

National Provider Directory

National Provider Directory

Locations

1971 Highway 287 N
Ste 104
Mansfield, TX 76063

3331 Meridiana Pkwy
Ste 800
Rosharon, TX 77583
Phone (346) 522-2015

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1982125316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 MERIDIANA PARKWAY",
            "address_2": "SUITE 800",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "77583",
            "telephone_number": "346-522-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 MERIDIANA PARKWAY",
            "address_2": "SUITE 800",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "77583",
            "telephone_number": "346-522-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILY VISION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-06",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "LY",
        "authorized_official_first_name": "HONG",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "346-522-2015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Today's Vision Manvel",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Today's Vision Manvel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rosharon, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.