Organization Active NPI

Douglas W. Lyman, OD, PLLC

  • Clinic/Center
  • Spokane, WA
National Provider Identifier
1548674872
Registry record updated Jun 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
OD 00001807 Issued in WA
Legal business name
DOUGLAS W. LYMAN, OD, PLLC
Practice address
7619 N Division St
Spokane, WA 99208-5613
Phone
(509) 444-0004
Fax
(509) 468-1119
NPI assigned
Jun 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2014

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

Authorized official

Name
Douglas Lyman, O.D.
Title
Optometrist
Phone
(509) 444-0004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X OD 00001807 WA Primary

Addresses

Primary practice location

7619 N Division St
Spokane, WA 99208-5613

Mailing address

7619 N Division St
Spokane, WA 99208-5613
Phone (509) 444-0004

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1402704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402704000000",
    "number": "1548674872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7619 N DIVISION ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992085613",
            "telephone_number": "509-444-0004",
            "fax_number": "509-468-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7619 N DIVISION ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992085613",
            "telephone_number": "509-444-0004",
            "fax_number": "509-468-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS W. LYMAN, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-14",
        "last_updated": "2014-06-14",
        "status": "A",
        "authorized_official_last_name": "LYMAN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "509-444-0004",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "OD 00001807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2014; 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.