Allendale Family Vision LLC
NPI 1639467962ActiveOrganization· Optometrist· Allendale, MI
Optometrist in Allendale, Michigan, registered in NPPES in July 2011. The authorized official on file is Nicholas Vijay Lillie, O.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639467962 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 20, 2011 |
| Last updated in NPPES | May 2, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 4901004659 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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