Active NPI
Lymon Nicholas Roan, O.D.
- Optometrist
- Jacksonville, FL
National Provider Identifier
1265402457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 3270
- Practice address
- 2080 Child St
Jacksonville, FL 32214-5005 - Phone
- (305) 293-4600
- Fax
- (305) 293-4564
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 3270 | FL | Primary |
Addresses
Primary practice location
2080 Child St
Jacksonville, FL 32214-5005
Mailing address
PO Box 421053
Summerland Key, FL 33042-1053
Phone (305) 849-1651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPC 3270 | Other | FL | CERTIFIED OPTOMETRIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 3270 | FL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1265402457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 421053",
"city": "SUMMERLAND KEY",
"state": "FL",
"postal_code": "330421053",
"telephone_number": "305-849-1651",
"fax_number": "305-293-4564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 CHILD ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322145005",
"telephone_number": "305-293-4600",
"fax_number": "305-293-4564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROAN",
"first_name": "LYMON",
"middle_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 3270",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED OPTOMETRIST",
"identifier": "OPC 3270",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.