Individual provider Active NPI

Christopher Lyon, PH.D,MD

  • Ophthalmology Physician
  • Orange, CA
National Provider Identifier
1649316753
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A37277 Issued in CA
Practice address
1201 W la Veta Ave
300
Orange, CA 92868-4213
Phone
(714) 771-1144
Fax
(714) 771-6785
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A37277 CA Primary
Surgery Physician 208600000X A37277 CA

Addresses

Primary practice location

1201 W la Veta Ave
300
Orange, CA 92868-4213

Mailing address

1201 W la Veta Ave
300
Orange, CA 92868-4213
Phone (714) 771-1144

Other identifiers 1

IdentifierTypeStateIssuer
330116450OtherCATAXID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090226000117 CA Practitioner - OphthalmologyPractitioner - Physical Medicine and Rehabilitation 3779649843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Physical Medicine and Rehabilitation
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1401 Avocado Ave
Suite 401
Newport Beach, CA 92660-8726
Phone (949) 760-3003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37277CAMDPediatric Dentist
A37277CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Lyon M D Inc CurrentSince Jan 1, 1990 Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224806400000",
    "number": "1649316753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W LA VETA AVE",
            "address_2": "300",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684213",
            "telephone_number": "714-771-1144",
            "fax_number": "714-771-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W LA VETA AVE",
            "address_2": "300",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684213",
            "telephone_number": "714-771-1144",
            "fax_number": "714-771-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "PH.D,MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A37277",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A37277",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXID",
            "identifier": "330116450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.