Individual provider Active NPI

Jennifer L Lyons, MD

  • Ophthalmology Physician
  • Portland, OR
National Provider Identifier
1629069026
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD18424 Issued in OR
Practice address
1320 NE 106TH Ave
Portland, OR 97220-3966
Phone
(503) 908-2020
NPI assigned
Nov 3, 2005
Last updated
Feb 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD18424 OR Primary

Addresses

Primary practice location

1320 NE 106TH Ave
Portland, OR 97220-3966

Mailing address

1320 NE 106TH Ave
Portland, OR 97220-3966
Phone (503) 908-2020

Other identifiers 2

IdentifierTypeStateIssuer
078944MedicaidOR
180025900OtherORRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050907000062 OR Practitioner - Ophthalmology 7810928538 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Indiana University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lyons Eye LLCGroup PAC ID 2365782323, 2 clinicians

Practice addresses (Care Compare)

1320 NE 106TH Ave
Portland, OR 97220-3966
Phone (503) 908-2020

3348 Hwy 101 N
Suite Def
Gearhart, OR 97138-4316
Phone (503) 908-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.39 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD18424ORMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon CurrentSince Jul 24, 2018 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jul 24, 2018 Accepting new patients
Providence Health & Services Oregon CurrentSince Jul 24, 2018 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Jul 24, 2018 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jul 24, 2018 Accepting new patients
Lyons Eye LLC Ophthalmology CurrentSince Oct 19, 2018 Accepting new patients
Providence Health & Services Oregon CurrentSince Jul 24, 2018 Accepting new patients
Oregon Eye Specialists PC Ophthalmology Past Accepting new patients

Locations

3348 Highway 101 N
Ste Def
Gearhart, OR 97138
Phone (503) 908-2020

1380 E Powell Blvd
Gresham, OR 97030
Phone (503) 760-2525

1320 NE 106th Ave
Portland, OR 97220
Phone (503) 255-5448

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

9135 SW Barnes Rd
Ste 961
Portland, OR 97225
Phone (503) 292-0848

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000

727 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000

727 S Wahanna Rd
Ste 101
Seaside, OR 97138
Phone (503) 717-7000

Interoperability endpoints

  • Direct secure messaging: jenniferlyons@lyonseyecare.imwdirect.com

Organizations & group practices 9

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1629069026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 NE 106TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203966",
            "telephone_number": "503-908-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 NE 106TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203966",
            "telephone_number": "503-908-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD18424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078944",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180025900",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.