Individual provider Active NPI

Eileen R. Lilley, MD

  • Ophthalmology Physician
  • Bridgewater, NJ
National Provider Identifier
1992899231
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA06417300 Issued in NJ
Practice address
745 Route 202/206
Suite 301
Bridgewater, NJ 08807-1758
Phone
(908) 231-1110
Fax
(908) 526-4959
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA06417300 NJ Primary

Addresses

Primary practice location

745 Route 202/206
Suite 301
Bridgewater, NJ 08807-1758

Mailing address

745 Route 202/206
Suite 301
Bridgewater, NJ 08807-1758
Phone (908) 231-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110412001008 NJ Practitioner - Ophthalmology 4587848742 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06417300NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Specialists, PA Ophthalmology CurrentSince Oct 15, 1996 Accepting new patients

Locations

390 Amwell Rd
Ste 403
Hillsborough, NJ 08844
Phone (908) 231-1110

Organizations & group practices 1

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1992899231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 ROUTE 202/206",
            "address_2": "SUITE 301",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071758",
            "telephone_number": "908-231-1110",
            "fax_number": "908-526-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 ROUTE 202/206",
            "address_2": "SUITE 301",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071758",
            "telephone_number": "908-231-1110",
            "fax_number": "908-526-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLEY",
        "first_name": "EILEEN",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA06417300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

Verify at the official NPI Registry.