Charles E Lyon, MD, Apmc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CHARLES E LYON, MD, APMC

Practice address

836 Olive St
Shreveport, LA 71104-2102

Phone

(318) 222-8421

Fax

(318) 673-8970

NPI assigned

Aug 20, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles E Lyon Sr., MDNPI 1558380303

Title

President

Phone

(318) 222-8421

Specialties & licenses 2

Addresses

Other names 1

• VITREO-RETINAL ASSOCIATES Former legal business name

Medicare fee-for-service enrollment

Enrolled in LA, TX2 enrollments

Enrollment records 2

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Eliot Lyon, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Shreveport, LA
  • NPI 1558380303

  TX

  Medicare reassignment Care Compare group Authorized official
• Karen Dumesnil, DO

  • Optometrist
  • Natchitoches, LA
  • NPI 1558978700
  Medicare reassignment Care Compare group NPD
• Wanda M Northam, MD

  • Ophthalmology Physician
  • Texarkana, TX
  • NPI 1780684183
  Medicare reassignment Care Compare group NPD
• Lauren Brooke Hernandez, O.D.

  • Optometrist
  • Texarkana, TX
  • NPI 1376990523
  Medicare reassignment NPD
• Neil W Brogden, OD

  • Optometrist
  • Shreveport, LA
  • NPI 1265545644

  TX

  Medicare reassignment
• Jessica Renee Trichel, O.D.

  • Optometrist
  • Texarkana, TX
  • NPI 1376899633

  LA

  Medicare reassignment
• Wilson B Baber, MD

  • Ophthalmology Physician
  • Shreveport, LA
  • NPI 1386649788
  NPD (past)
• Deana McGowan Clifton, O.D.

  • Optometrist
  • Bossier City, LA
  • NPI 1952404352
  NPD (past)
• David Hongwei Ren, MD, PHD

  • Retina Specialist (Ophthalmology) Physician
  • Shreveport, LA
  • NPI 1942244389
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1689789562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 OLIVE ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042102",
            "telephone_number": "318-222-8421",
            "fax_number": "318-673-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 OLIVE ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042102",
            "telephone_number": "318-222-8421",
            "fax_number": "318-673-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E LYON, MD, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-222-8421",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VITREO-RETINAL ASSOCIATES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rachel Chapman, M.S., CCC-SLP
• Summer L Chapman, MS, CCC-SLP
• Cloteal Chapple
• Dana Lynn Charbonneau, MCD/CCC-SLP
• John Charles Charity, NP-BC
• Charles Hargon MD and Willis-Knighton Medical Center
• Charles L. Black Jr MD Surgical Clinic Corp
• Charles P. Werner, MD Apmc
• Charles R. Byrd MD a Professional
• Charles Sale MD and Willis-Knighton Medical Center

• Optometrist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.