Individual provider Active NPI

Christy Lynn Lighthouse, OD

  • Optometrist
  • Reno, NV
National Provider Identifier
1124170857
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
356 Issued in NV
Practice address
118 California Ave
Reno, NV 89509-1619
Phone
(775) 329-1331
Fax
(775) 329-9057
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 356 NV Primary

Addresses

Primary practice location

118 California Ave
Reno, NV 89509-1619

Mailing address

118 California Ave
Reno, NV 89509-1619
Phone (775) 329-1331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110325000756 NV Practitioner - Optometry 4587877592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Eric R Kroll O D LTDGroup PAC ID 8224099890, 2 clinicians

Practice addresses (Care Compare)

118 California Ave
Reno, NV 89509-1619
Phone (775) 329-1331

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
356NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric R Kroll O D LTD Optometrist CurrentSince Jan 1, 2000 Accepting new patients

Locations

118 California Ave
Reno, NV 89509
Phone (775) 329-1331

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1124170857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CALIFORNIA AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895091619",
            "telephone_number": "775-329-1331",
            "fax_number": "775-329-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 CALIFORNIA AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895091619",
            "telephone_number": "775-329-1331",
            "fax_number": "775-329-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHTHOUSE",
        "first_name": "CHRISTY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.