P Praxis·MD
● Active Type 1 · Individual

Scott Lee Lillemo

Technician/Technologist·Hayden, ID· NPI 1316169543 · Enumerated 2007 · 19 years on NPI
Lillemo is 1 of 1 technician/technologist providers in Hayden and 1 of 21 in Idaho.
NPI age
19 years
Enumerated 2007-05-03
Primary specialty
Technician/Technologist
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2008-07-14
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 21 active technician/technologist providers in Idaho.

NPI age
19 years
↑ 6 yr above median (13 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
14% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Practice location
8827 N Government Way
Hayden, ID 838358231
📞 2087623455
Mailing address
8827 N Government Way
Hayden, ID 838358231
📞 2087623455

Specialties

  • Technician/Technologist Primary
    Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
    taxonomy 156FX1800X

Identifiers

TypeValueNotes
01 (ID) V7778 BLUE CROSS OF IDAHO
01 (ID) 000010138836 REGENCE BLUE SHIELD OF ID

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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