Individual provider Active NPI

Somer Johnson Lyons, O.D.

  • Optometrist
  • Minden, NV
National Provider Identifier
1497725212
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
489 Issued in NV
Practice address
1687 US Highway 395 N
#2
Minden, NV 89423-4321
Phone
(775) 783-1111
NPI assigned
Jan 24, 2006
Last updated
Jan 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 489 NV Primary

Addresses

Primary practice location

1687 US Highway 395 N
#2
Minden, NV 89423-4321

Mailing address

115 Jackdaw LN
Carson City, NV 89704-9719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20040525000754 NV Practitioner - Optometry 7719968916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somer J Lyons OD LTDGroup PAC ID 0042245854, 2 clinicians

Practice addresses (Care Compare)

1538 US Hwy 395 N
Gardnerville, NV 89410-5402
Phone (775) 783-1111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
489NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brewer and Lyons Eyecare, LTD Optometrist CurrentSince Jun 1, 2005 Accepting new patients
State of Nevada Past Accepting new patients

Locations

1538 US Highway 395 N
Gardnerville, NV 89410
Phone (775) 782-3671

Interoperability endpoints

  • Direct secure messaging: somer.lyons@direct.revolutionehr.com

Organizations & group practices 2

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1497725212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 JACKDAW LN",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897049719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 US HIGHWAY 395 N",
            "address_2": "#2",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894234321",
            "telephone_number": "775-783-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "SOMER",
        "middle_name": "JOHNSON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, NV

Sources for this page

Verify at the official NPI Registry.