Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Nicholas Vijay Lillie, OD

Individual provider Optometrist · NPI 1053609693

Dr. Nicholas Vijay Lillie, OD is an Optometry in Allendale, Michigan. Graduated from Illinois College of Optometry at Chicago in 2011, 15 years ago. Practices with Allendale Family Vision LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Trained at
Illinois College of Optometry at Chicago
Licensed in
MI
In the registry since
2011
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

6101 Lake Michigan Dr Ste B 700
Allendale, MI 49401-9215
Phone: (616) 895-2020
Fax: (616) 895-2060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4901004659 (MI)

Record details

NPI number1053609693
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 18, 2011
Last updated in NPPESJuly 11, 2024
Certification dateJuly 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2011 (15 years in practice)
Group practice Allendale Family Vision Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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