Vicki Ann Lyons-Wait, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11178T Issued in CA

Practice address

309 West Quinto Street
Santa Barbara, CA 93105

Phone

(805) 682-2618

Fax

(805) 682-0125

NPI assigned

Aug 20, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Vicki Ann Vale Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michael Jay Paveloff M D Inc

  • Ophthalmology Physician
  • Santa Barbara, CA
  • NPI 1598989550
  NPD (past)

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1528290822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 WEST QUINTO STREET",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93105",
            "telephone_number": "805-682-2618",
            "fax_number": "805-682-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 WEST QUINTO STREET",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93105",
            "telephone_number": "805-682-2618",
            "fax_number": "805-682-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS-WAIT",
        "first_name": "VICKI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11178T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKI",
            "last_name": "VALE",
            "middle_name": "ANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Linda Solter Lynn, MD
• Rikk Lynn, M.D.
• Chloe Lyon, MS CCC-SLP
• Whitney Lee Lyon
• Lyons House, Mha
• Cecile Phillips Lyons, PHD
• M & a Joint Business Ventures Inc
• Rachel Kathryn Maber, NP
• Suzanne Mabie
• Adrienne Macdonald, M.D., M.P.H.

• Optometrist in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.