Individual provider Active NPI

Kary Lyon, O.D.

  • Optometrist
  • Franklin, TN
National Provider Identifier
1154463354
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODT-1311 Issued in TN
Practice address
3310 Aspen Grove Dr Ste 106
Franklin, TN 37067-2935
Phone
(615) 771-8686
Fax
(615) 771-6689
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODT-1311 TN Primary

Addresses

Primary practice location

3310 Aspen Grove Dr Ste 106
Franklin, TN 37067-2935

Mailing address

3310 Aspen Grove Dr Ste 106
Franklin, TN 37067-2935
Phone (615) 771-8686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20090529000338 TN Practitioner - Optometry 4981753688 Reassigns benefits to 1 organization
Practice locations: Lula, GA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
ODT-1311TNMDOptometrist
1311TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Calvert Opthalmology PSC CurrentSince Dec 17, 2018 Accepting new patients
Pharmaceutical Concepts PC Past Accepting new patients
Calvert Opthalmology PSC Past Accepting new patients

Locations

100 Keeton Dr
Hopkinsville, KY 42240
Phone (270) 886-2050

2801 Wilma Rudolph Blvd
Ste 665
Clarksville, TN 37040
Phone (931) 552-2233

1800 Galleria Blvd
Ste 2321
Franklin, TN 37067
Phone (615) 771-7382

Organizations & group practices 3

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1154463354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 ASPEN GROVE DR STE 106",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672935",
            "telephone_number": "615-771-8686",
            "fax_number": "615-771-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 ASPEN GROVE DR STE 106",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672935",
            "telephone_number": "615-771-8686",
            "fax_number": "615-771-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "KARY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT-1311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.