Active NPI
Robert D Lyons, O.D.
- Optometrist
- Reno, NV
National Provider Identifier
1700935376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 542
- Practice address
- 5420 Kietzke LN
Ste 103
Reno, NV 89511-2063 - Phone
- (775) 329-2300
- Fax
- (775) 329-5514
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 542 | NV | Primary |
Addresses
Primary practice location
5420 Kietzke LN
Ste 103
Reno, NV 89511-2063
Mailing address
5420 Kietzke LN
Ste 103
Reno, NV 89511-3022
Phone (775) 329-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 542 | Other | NV | NEVADA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091112000553 | NV | Practitioner - Optometry | 7911045851 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5420 Kietzke LN
Suite 103
Reno, NV 89511-2063
Phone (775) 329-2300
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.71 of 100
- Quality
- 81.42
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chang & Engle MDS, PC | Current | Accepting new patients | |
| Prime Healthcare Services - Reno LLC | Past | Accepting new patients | |
| Mt Grant General Hospital | Past | Accepting new patients | |
| South Lyon Health Center, Inc. | Past | Accepting new patients | |
| Sparks Family Hospital Inc | Past | Accepting new patients |
Locations
5420 Kietzke Ln
Ste 103
Reno, NV 89511
Phone (775) 329-2020
Interoperability endpoints
- rlyons@nec.intellechartdirect.net
Organizations & group practices 5
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.
-
- Critical Access Hospital
- Hawthorne, NV
- NPI 1801844527
-
- General Acute Care Hospital
- Reno, NV
- NPI 1801152566
-
- Physical Therapist
- Yerington, NV
- NPI 1407815194
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1548250582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249948800000",
"number": "1700935376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5420 KIETZKE LN",
"address_2": "STE 103",
"city": "RENO",
"state": "NV",
"postal_code": "895113022",
"telephone_number": "775-329-2300",
"fax_number": "775-329-5514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5420 KIETZKE LN",
"address_2": "STE 103",
"city": "RENO",
"state": "NV",
"postal_code": "895112063",
"telephone_number": "775-329-2300",
"fax_number": "775-329-5514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYONS",
"first_name": "ROBERT",
"middle_name": "D",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2009-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "542",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEVADA LICENSE",
"identifier": "542",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.