Lyle Thorstenson MD

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

LYLE THORSTENSON MD

Doing business as

Thorstenson Eye Clinic Optical

Practice address

3302 NE Stallings Dr
Nacogdoches, TX 75965-8727

Phone

(936) 564-2411

Fax

(936) 564-1280

NPI assigned

Aug 23, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pamela R Thorstenson

Title

Administrator

Phone

(936) 564-2411

Specialties & licenses 1

Addresses

Other names 1

• Thorstenson Eye Clinic Optical Doing business as

Tax ID family

Lyle Thorstenson MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lyle Thorstenson MD

  dba Thorstenson Eye Clinic Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Nacogdoches, TX
  • NPI 1134236714
  NPD tax ID

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487761060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632020",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759632020",
            "telephone_number": "936-564-2411",
            "fax_number": "936-564-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 NE STALLINGS DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759658727",
            "telephone_number": "936-564-2411",
            "fax_number": "936-564-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYLE THORSTENSON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THORSTENSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "936-564-2411"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thorstenson Eye Clinic Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luquette Chiropractic PC
• David Allen Luquette, DC
• Shannon Marie Lutz, PT
• Lyle L. Brown MD PA
• Lyle Thorstenson MD (Thorstenson Eye Clinic Surgery Center)
• Lyle Thorstenson, MD
• Patricia Self Lynch, MA, LPC
• Malcolm Kent Lyon, DO
• M & S Pharmacy, Inc. (M & S Pharmacy)
• M & S Pharmacy, Inc.

• Eyewear Supplier in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.