Individual provider Active NPI

Dennis H Lyons, OD FAAO

  • Optometrist
  • Brick, NJ
National Provider Identifier
1265476766
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00341100 Issued in NJ
Practice address
990 Cedarbridge Ave
Brick, NJ 08723-4159
Phone
(732) 920-0110
Fax
(732) 920-7881
NPI assigned
Jun 15, 2006
Last updated
Feb 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00341100 NJ Primary
Corneal and Contact Management Optometrist 152WC0802X 27OA00341100 NJ
Pediatric Optometrist 152WP0200X 27OA00341100 NJ
Sports Vision Optometrist 152WS0006X 27OA00341100 NJ

Addresses

Primary practice location

990 Cedarbridge Ave
Brick, NJ 08723-4159

Mailing address

990 Cedarbridge Ave
Brick, NJ 08723-4159
Phone (732) 920-0110

Other identifiers 1

IdentifierTypeStateIssuer
2920603MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050802000403 NJ Practitioner - Optometry 3173551090 Reassigns benefits to 2 organizations
Receives reassigned benefits from 1 practitioner
Practice locations: Brick, NJ

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Centers of America LLCGroup PAC ID 7315125184, 127 clinicians
Freehold Ophthalmology LLCGroup PAC ID 9335105691, 12 clinicians

Practice addresses (Care Compare)

1255 Broad St
Suite 104
Bloomfield, NJ 07003-3061
Phone (973) 707-5632

20 Hospital Dr
Toms River, NJ 08755-6434
Phone (732) 349-7167

202 Jack Martin Blvd
Unit C4
Brick, NJ 08724-7770
Phone (732) 458-5700

509 Stillwells Corner Rd
Freehold, NJ 07728-2965
Phone (732) 431-9333

89 N Maple Ave
Suite 5
Ridgewood, NJ 07450-3235
Phone (201) 445-1991

Merit-based Incentive Payment System (MIPS)

Final score
82.81 of 100Reported as group
Quality
88.7
Improvement activities
40
Cost
57.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3411NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
New GW LLC Current Accepting new patients
Eye Centers of America, LLC CurrentSince Dec 15, 2025 Accepting new patients
Freehold Ophthalmology, LLC CurrentSince Jan 11, 2020 Accepting new patients

Locations

1255 Broad St
Ste 104
Bloomfield, NJ 07003
Phone (973) 707-5632

202 Jack Martin Blvd
Unit C4
Brick, NJ 08724
Phone (732) 458-5700

990 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 262-1919

385 State Route 18
Ste H
East Brunswick, NJ 08816
Phone (732) 698-9300

4 Ethel Rd
Ste 403A
Edison, NJ 08817
Phone (732) 767-1850

509 Stillwells Corner Rd
Ste E5
Freehold, NJ 07728
Phone (732) 409-6440

705 Candlewood Cmns
Unit 705
Howell, NJ 07731
Phone (732) 431-9333

104 Market St
Perth Amboy, NJ 08861
Phone (732) 826-5159

20 Hospital Dr
Ste 6
Toms River, NJ 08755
Phone (732) 349-7167

886 Commons Way
Bldg H
Toms River, NJ 08755
Phone (732) 341-9696

Interoperability endpoints

  • Direct secure messaging: dlyons@gwd.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1265476766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 CEDARBRIDGE AVE",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234159",
            "telephone_number": "732-920-0110",
            "fax_number": "732-920-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 CEDARBRIDGE AVE",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234159",
            "telephone_number": "732-920-0110",
            "fax_number": "732-920-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "DENNIS",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "OD FAAO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00341100",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NJ",
            "license": "27OA00341100",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NJ",
            "license": "27OA00341100",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "NJ",
            "license": "27OA00341100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2920603",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.