John C Lyman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TO3167 Issued in MO

Practice address

2330 Mid Rivers Mall
Saint Peters, MO 63376-4377

Phone

(636) 970-2448

Fax

(636) 279-2483

NPI assigned

Aug 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Optometry

Education

Southern College of Optometry, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pec Chesterfield LLCGroup PAC ID 7113330275, 2 clinicians

Pec STG LLCGroup PAC ID 9032577440, 2 clinicians

Pec St Peters LLCGroup PAC ID 7911266721, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Pec Chesterfield, LLC

  • Optometrist
  • Ellisville, MO
  • NPI 1811500069
  Medicare reassignment Care Compare group NPD
• Pec St Peters LLC

  • Optometrist
  • Saint Peters, MO
  • NPI 1669988242
  Medicare reassignment Care Compare group NPD
• Pec STG LLC

  • Optometrist
  • Ste Genevieve, MO
  • NPI 1427753862
  Medicare reassignment Care Compare group NPD
• Massie Optometry PC

  • Optometrist
  • Saint Louis, MO
  • NPI 1255675740
  Medicare reassignment NPD

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669580882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 TWILL VALLEY DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 MID RIVERS MALL",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633764377",
            "telephone_number": "636-970-2448",
            "fax_number": "636-279-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYMAN",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO3167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica of America Inc.
• Luxottica Retail North America Inc
• Luxottica Retail North America Inc
• Kara Danielle Lydon, MPT
• Kevin Greeley Lydon, O.D.
• Anne Lyng Hibbard, M.D.
• Robert Daniel Lynn
• Brittany Lyons, FNP
• M&a Adkisson, LLC
• Robert Riordan Mac Donald, M.D.

• Optometrist in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.