Dr. Mary Susan Lilly
Optometrist
3875 Us Highway 301 S
Riverview
, Florida 33578
Dr. Mary Susan Lilly
Optometrist
3875 Us Highway 301 S
Riverview
, Florida 33578
(813) 716-5150
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Mary Susan Lilly
- 2306 Golf Manor Blvd
- Valrico, FL
- Zip : 33596-7852
- Phone : (813) 716-5150
Second Address
- Dr. Mary Susan Lilly
- 3875 Us Highway 301 S
- Riverview, FL
- Zip : 33578
- Fax : (813) 542-2246
- Phone : (813) 246-3186
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC 3537 | FL |
National Provider Identifier
| NPI | 1003907650 |
|---|---|
| Provider Name | Dr. Mary Susan Lilly |
| First Address | Valrico, FL 33596-7852 |
| Second Address | Riverview, FL 33578 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/09/2006 |
| Last Update Date | 22/05/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 6205704 00 | (05) | FL |
| 66730 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.