Jennifer Maureen Lydon, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046011130 Issued in IL

Practice address

16205 Harlem Ave Ste B
Tinley Park, IL 60477-1682

Phone

(708) 614-9301

NPI assigned

Jul 14, 2017

Last updated

Jul 14, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• America's Best Contacts & Eyeglasses

  • Eyewear Supplier
  • Tinley Park, IL
  • NPI 1447287875
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499990400000",
    "number": "1053833665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 NICOLETTE DR",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604171343",
            "telephone_number": "708-606-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16205 HARLEM AVE STE B",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771682",
            "telephone_number": "708-614-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYDON",
        "first_name": "JENNIFER",
        "middle_name": "MAUREEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2017-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Lunde
• Mary Elizabeth Lunter
• Stephany Lutz, M.A., BCBA
• Luxottica of America Inc (Target Optical #C4378)
• Luxottica of America Inc (For Eyes (Cm260))
• Danielle Lyon
• Samantha Maciaga
• Mary Beth Madden Damm, MA, CCC-SLP
• Isabella Magana
• Krystal Maiden, LCMT, LE

• Optometrist in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.