Provider Demographics
NPI:1124200274
Name:LILIA B ALVAREZ O.D., P.C.
Entity Type:Organization
Organization Name:LILIA B ALVAREZ O.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LILIA
Authorized Official - Middle Name:BERTHA
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:915-594-8082
Mailing Address - Street 1:6336 EDGEMERE BLVD
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-3517
Mailing Address - Country:US
Mailing Address - Phone:915-594-8082
Mailing Address - Fax:915-779-2204
Practice Address - Street 1:6336 EDGEMERE BLVD
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-3517
Practice Address - Country:US
Practice Address - Phone:915-594-8082
Practice Address - Fax:915-779-2204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-30
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4306530001Medicare NSC
TXU34898Medicare UPIN
TX00E84PMedicare PIN