LILLY EYE CARE, INC. (NPI# 1053495820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053495820 |
| Entity Type | Organization |
| Organization Name | LILLY EYE CARE, INC. |
| Practice Address |
2823 3rd Ave Huntington WV 25702-1423 |
| Practice Telephone | 3045233937 |
| Practice Fax Number | 3045233945 |
| Mailing Telephone | 3045233937 |
| Mailing Fax Number | 3045233945 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DALE BLAKE LILLY (PRESIDENT) |
| Authorized Official Telephone | 3045233937 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
WV17041 | WV | Ambulatory Health Care Facilities |
| Street Address |
2823 3RD AVE |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25702-1423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376557918 | Dale Blake Lilly | Ophthalmology | 2823 3rd Ave, Huntington, WV 25702-1423 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692306 | Jessica Nicole Hankins | Social Worker | 2769 Collins Avenue, Huntington, WV 25702 | 2020-05-29 |
| 1932750338 | Dasllastiene Cabell | Technician | 6188 Little 7 Mile Rd, Huntington, WV 25702 | 2019-09-26 |
| 1295386134 | Hope Vance | Technician | 2 Sam Collins Road, Huntington, WV 25702 | 2019-09-23 |
| 1649726373 | Erin Nicole Wingate | Emergency Medicine | 2828 1st Ave., Huntington, WV 25702 | 2016-09-01 |
| 1639545510 | Ready Set Relax LLC | Massage Therapist | 2411 3rd Avenue, Huntington, WV 25702 | 2015-08-14 |
| 1780709923 | M N Saleme Surgery Inc | Surgery | 2828 First Ave, Suite 205, Huntington, WV 25702 | 2007-03-20 |
| 1558496489 | Rajendra K Jain Urology Inc | Urology | 2828 First Ave Suite 204, Huntington, WV 25702 | 2007-02-22 |
| 1578621678 | Andrea R Ferguson | Registered Nurse | 2860 3rd Ave Suite 10, Huntington, WV 25702 | 2006-12-04 |
| 1588742688 | Tri State Neurology Pllc | Psychiatry & Neurology | 2860 Third Ave, Suite 20, Huntington, WV 25702 | 2006-11-02 |
| 1790889905 | All Med LLC | Durable Medical Equipment & Medical Supplies | 410 Seventh Ave, Huntington, WV 25702 | 2006-09-08 |
| Find all providers in zip 25702 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538575857 | The Lake Medical Services, P.C. | Clinic/Center | 171 Lake Rd, Suite 1, Huntington, NY 11743-3947 | 2014-07-08 |
| 1609333830 | House of Grace LLC | Clinic/Center | 401 Camden Rd, Huntington, WV 25704-2708 | 2019-02-25 |
| 1710332952 | Nguyen Dermatology PC | Clinic/Center | 181 Main St, Suite 201, Huntington, NY 11743-6918 | 2016-04-25 |
| 1497023964 | North Shore Tms LLC | Clinic/Center | 75 Prospect St Ste 102, Huntington, NY 11743-3320 | 2011-12-12 |
| 1518153089 | Huntington Retina Center, Inc. | Clinic/Center | 1616 13th Ave, Suite 3 B&c, Huntington, WV 25701-3840 | 2007-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150351 | Wv Wellness and Recovery LLC | Clinic/Center | 4 Putnam Village Drive, Hurricane, WV 25526 | 2020-07-06 |
| 1174881916 | West Virginia Dermatology and Skin Surgery Center | Clinic/Center | 4202 Maccorkle Ave Sw Ste 200, South Charleston, WV 25309-1513 | 2012-04-30 |
| 1376829671 | Kidney Specialists, Pllc | Clinic/Center | 176 Health Care Ln Ste A, Martinsburg, WV 25401-4010 | 2011-10-31 |
| 1326166463 | Kanawha Valley Neurology | Clinic/Center | 3847 Teays Valley Rd, Suite D, Hurricane, WV 25526-9622 | 2007-03-27 |
| 1982604997 | Mountain State Ent & Facial Plastic Surgery, Inc | Clinic/Center | 86 Brookshire Ln, Beckley, WV 25801-6765 | 2005-08-01 |
| 1356349161 | Grant Memorial Hospital | Clinic/Center | 1 Hospital Drive, Petersburg, WV 26847 | 2005-07-14 |
| 1346248283 | Grant Memorial Hospital | Clinic/Center | 10 Valley View St, Suite 101, Petersburg, WV 26847-9543 | 2005-07-13 |
| 1013557982 | Mountaineer Wellness and Recovery Centers LLC | Clinic/Center | 310 George St, Beckley, WV 25801-2653 | 2020-01-08 |
| 1811405616 | Holistic, Inc | Clinic/Center | 303 6th Ave, Saint Albans, WV 25177-2838 | 2018-01-15 |
| 1891220695 | Valley Family Medicine Pllc | Clinic/Center | 215 S Louisiana Ave Ste A, Martinsburg, WV 25401-2023 | 2017-04-29 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGTON |
| Zip Code | 25702 |
Please comment or provide details below to improve the information on LILLY EYE CARE, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.