Organization Active NPI

Lilac Vision Care LLC

  • Optometrist
  • Rochester, NY
National Provider Identifier
1982158853
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008384 Issued in NY
Legal business name
LILAC VISION CARE LLC
Practice address
381 White Spruce Blvd
Rochester, NY 14623-1603
Phone
(585) 424-5050
Fax
(585) 424-1009
NPI assigned
Aug 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Authorized official

Name
Sabrina Ahmed, O.D.
Title
Member/Optometrist
Phone
(585) 967-5742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV008384 NY Primary

Addresses

Primary practice location

381 White Spruce Blvd
Rochester, NY 14623-1603

Mailing address

381 White Spruce Blvd
Rochester, NY 14623-1603
Phone (585) 424-5050

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1982158853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 WHITE SPRUCE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231603",
            "telephone_number": "585-424-5050",
            "fax_number": "585-424-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 WHITE SPRUCE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231603",
            "telephone_number": "585-424-5050",
            "fax_number": "585-424-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILAC VISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "MEMBER/OPTOMETRIST",
        "authorized_official_telephone_number": "585-967-5742",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.