National Provider Identifier Database

MARY S LILLY, OD – NPI #1003907650
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

MARY S LILLY, OD
3875 US HIGHWAY 301 S
RIVERVIEW, FL33578
Phone: 813-246-3186
Fax: 813-542-2246
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for MARY S LILLY

NPI Number 1003907650
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 09/27/2006
Last updated 05/22/2018 - About 8 years ago
Sole proprietor1 Yes
Identifiers
  • FL License #: OPC 3537
  • FL Medicaid: 6205704 00
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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