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DR. LILY MAC O.D.
NPI 1508022021
Optometrist in Pinole, CA

Active since August 04, 2008PECOS EnrolledAccepts Medicare Assignment
1450 TARA HILLS DR, STE D, PINOLE, CA 94564(626) 282-2567 Get Directions Write a Review

NPPES record last updated: February 16, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Lily Mac O.d. NPPES

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

DR. LILY MAC O.D. (NPI 1508022021) is an individual optometrist in Pinole, California, licensed in California (OPT 13519) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2008).

NPPES Registry Identity

NPI1508022021
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. LILY MACCredential: O.D.
Location Address1450 TARA HILLS DR, STE DPinole, CA 94564-2517
Mailing Address1450 Tara Hills Dr, Ste DPinole, CA 94564-2517 · (626) 282-2567
Phone(626) 282-2567
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 2008
Enumeration DateAugust 4, 2008
Last NPPES UpdateFebruary 16, 2016
✔ NPI 1508022021 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 CA · OPT 13519
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.
1450 TARA HILLS DR, Pinole, CA 94564
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lily Mac 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 ID6204999006
PECOS Enrollment IDI20171109000567
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.

Medicare Billing Reassignment

Medicare enrollment records show Lily Mac reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mass Optometric Associates, P. C.
2,682 mi
Optometrist
3 MOUNT AUBURN ST, WATERTOWN SQUARE PLAZA, SUITE 2
Watertown, MA 02472
  • Reassigned Medicare billing, Massachusetts enrollment
  • Medicare enrollment name: Mass Optometric Associates, PLLC
  • 98 clinicians in this Medicare group
NPI 1083804249 (617) 926-8443

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
39 services39 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94564 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 Lily Mac's NPI number?

The NPI number for Lily Mac is 1508022021. It was assigned to this individual provider in the NPPES registry on August 4, 2008.

Where is Lily Mac located?

Lily Mac practices at 1450 Tara Hills Dr Ste D, Pinole, CA 94564. The listed phone number is (626) 282-2567.

What is Lily Mac's specialty?

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

Is Lily Mac enrolled in Medicare?

Yes. Lily Mac 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.

Which organization bills Medicare for Lily Mac's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lily Mac reassigns Medicare benefits to Mass Optometric Associates, P. C. (Watertown, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lily Mac's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lily Mac accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 2 other insurers list Lily Mac 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 Lily Mac was last updated on February 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.