Active NPI
John B Lyman MD PC
- Ophthalmology Physician
- Bountiful, UT
National Provider Identifier
1194903328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 1656561205
- Legal business name
- JOHN B LYMAN MD PC
- Practice address
- 520 Medical Dr
Suite 201
Bountiful, UT 84010-4968 - Phone
- (801) 292-8878
- Fax
- (801) 292-5164
- NPI assigned
- Feb 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John B Lyman, MD
- Title
- Doctor/Owner
- Phone
- (801) 292-8878
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 1656561205 | UT | Primary |
Addresses
Primary practice location
520 Medical Dr
Suite 201
Bountiful, UT 84010-4968
Mailing address
520 Medical Dr
Suite 201
Bountiful, UT 84010-4968
Phone (801) 292-8878
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538189402 | Other | UT | INDIVIDUAL NPI |
| 544500499008 | Medicaid | UT |
Other names 1
- Intermountain Eye Associates
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Bountiful, UT
- NPI 1538189402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202688000000",
"number": "1194903328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 MEDICAL DR",
"address_2": "SUITE 201",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840104968",
"telephone_number": "801-292-8878",
"fax_number": "801-292-5164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 MEDICAL DR",
"address_2": "SUITE 201",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840104968",
"telephone_number": "801-292-8878",
"fax_number": "801-292-5164"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN B LYMAN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-11",
"last_updated": "2008-02-11",
"status": "A",
"authorized_official_last_name": "LYMAN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "DOCTOR/OWNER",
"authorized_official_telephone_number": "801-292-8878",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "UT",
"license": "1656561205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1538189402",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "544500499008",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Intermountain Eye Associates",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.