ALLENDALE FAMILY VISION LLC
NPI 1639467962
Optometrist in Allendale, MI

Q: What is Allendale Family Vision LLC's NPI number?

The NPI number for Allendale Family Vision LLC is 1639467962. It was assigned to this organization in the NPPES registry on July 20, 2011.

Q: What is Allendale Family Vision LLC's specialty?

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

Active since July 20, 2011

6101 LAKE MICHIGAN DR, ALLENDALE, MI 49401(616) 895-2020(616) 895-2060 Get Directions Write a Review

NPPES record last updated: May 2, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Allendale Family Vision Llc NPPES

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

ALLENDALE FAMILY VISION LLC (NPI 1639467962) is a healthcare organization registered as an optometrist in Allendale, Michigan and active in the NPI registry since July 2011. The organization lists Nicholas Vijay Lillie, President, as its authorized official.

NPPES Registry Identity

NPI1639467962

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameALLENDALE FAMILY VISION LLC

Location Address6101 LAKE MICHIGAN DRAllendale, MI 49401-9215

Mailing Address6101 Lake Michigan Dr, Ste B700Allendale, MI 49401-9215 · (616) 895-2020 · Fax (616) 895-2060

Phone(616) 895-2020

Fax(616) 895-2060

Organization SubpartNo

Authorized OfficialNicholas Vijay LilliePresident · (616) 895-2020

Enumeration DateJuly 20, 2011

Last NPPES UpdateMay 2, 2013

✔ NPI 1639467962 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 MI · 4901004659

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.

6101 LAKE MICHIGAN DR, Allendale, MI 49401

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allendale Family Vision Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Allendale Family Vision LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nicholas Lillie, O.D.

Optometry

NPI 1053609693

6101 LAKE MICHIGAN DR SUITE B 700
Allendale, MI 49401

(616) 895-2020

✔ PECOS✔ Accepts MedicareSame address

Kody Drewer

Optometry

NPI 1578490306

11145 68TH AVE STE C
Allendale, MI 49401

(616) 300-2259

✔ PECOS1.0 mi

Amanda Bancroft

Optometry

NPI 1073139416

1020 TERRACE DR STE 100
Marion, VA 24354

(267) 374-7551

✔ PECOS✔ Accepts Medicare484 mi

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

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 Allendale Family Vision LLC's NPI number?

The NPI number for Allendale Family Vision LLC is 1639467962. It was assigned to this organization in the NPPES registry on July 20, 2011.

Where is Allendale Family Vision LLC located?

Allendale Family Vision LLC is located at 6101 Lake Michigan Dr, Allendale, MI 49401. The listed phone number is (616) 895-2020.

What is Allendale Family Vision LLC's specialty?

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

Is Allendale Family Vision LLC enrolled in Medicare?

Yes. Allendale Family Vision LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Allendale Family Vision LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Allendale Family Vision LLC. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Allendale Family Vision LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 5 other insurers list Allendale Family Vision LLC 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 Allendale Family Vision LLC was last updated on May 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.