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DR. MARY SUSAN LILLY O.D.
NPI 1003907650
Optometrist in Riverview, FL

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
3875 US HIGHWAY 301 S, RIVERVIEW, FL 33578(813) 246-3186(813) 542-2246 Get Directions Write a Review

NPPES record last updated: May 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mary Susan Lilly O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY SUSAN LILLY O.D. (NPI 1003907650) is an individual optometrist in Riverview, Florida, licensed in Florida (OPC 3537) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lithia, and is a graduate of Illinois College Of Optometry At Chicago (1995).

NPPES Registry Identity

NPI1003907650
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARY SUSAN LILLYCredential: O.D.
Location Address3875 US HIGHWAY 301 SRiverview, FL 33578
Mailing Address2306 Golf Manor BlvdValrico, FL 33596-7852 · (813) 716-5150
Phone(813) 246-3186
Fax(813) 542-2246
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1995
Enumeration DateSeptember 27, 2006
Last NPPES UpdateMay 22, 2018
✔ NPI 1003907650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · OPC 3537
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3875 US HIGHWAY 301 S, Riverview, FL 33578
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Secondary Practice Location 1

Location 15458 Lithia Pinecrest RdLithia, FL 33547-2853 · Phone (813) 689-2020

Other Identifiers 1

Medicaid6205704 00FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter from Superior HealthPlan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mary Susan Lilly O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335113620
PECOS Enrollment IDI20040823001006
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33578 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Lilly's NPI number?

The NPI number for Mary Lilly is 1003907650. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Mary Lilly located?

Mary Lilly practices at 3875 Us Highway 301 S, Riverview, FL 33578. The listed phone number is (813) 246-3186.

What is Mary Lilly's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Mary Lilly enrolled in Medicare?

Yes. Mary Lilly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Lilly accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Ambetter of Tennessee and 11 other insurers list Mary Lilly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Lilly was last updated on May 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.