DR. MARY SUSAN LILLY (O.D.) – Optometrist, NPI 1003907650
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,055 OPTOMETRY in FL
Provider Addresses for DR. MARY SUSAN LILLY (O.D.)
2306 GOLF MANOR BLVD
VALRICO, FL 335967852
Phone: (813) 716-5150
Type: Mailing
5458 Lithia Pinecrest Rd
Lithia, FL 335472853
Phone: (813) 689-2020
Type: Location
Blue Star Memorial Highway, Weems Creek, Riverview Manor, Anne Arundel County, Maryland, 21401, United States
RIVERVIEW, FL 33578
Phone: (813) 246-3186
Fax: (813) 542-2246
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $409.
Total Amount is formed as General ($409) + Research ($0) + Ownership ($0) = $409.
Last reported payment date: 2024-08-20 • Largest payer in this snapshot: CooperVision Inc. ($189).
Total Amount
$409
General + Research + Ownership
Payments
11
Total payment records
General Amount
$409
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $189 |
| Bausch & Lomb Americas Inc. | $181 |
| Alcon Vision LLC | $39 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-08-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040823001006 | I | Optometry | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33596)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | MO | |
| - | FL |
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