Provider Demographics
NPI:1982125316
Name:LILY VISION PLLC
Entity Type:Organization
Organization Name:LILY VISION PLLC
Other - Org Name:TODAY'S VISION MANVEL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HONG
Authorized Official - Middle Name:
Authorized Official - Last Name:LY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:346-522-2015
Mailing Address - Street 1:3331 MERIDIANA PARKWAY
Mailing Address - Street 2:SUITE 800
Mailing Address - City:ROSHARON
Mailing Address - State:TX
Mailing Address - Zip Code:77583
Mailing Address - Country:US
Mailing Address - Phone:346-522-2015
Mailing Address - Fax:
Practice Address - Street 1:3331 MERIDIANA PARKWAY
Practice Address - Street 2:SUITE 800
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583
Practice Address - Country:US
Practice Address - Phone:346-522-2015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-06
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty