Individual provider Active NPI

Robert D Lyons, O.D.

  • Optometrist
  • Reno, NV
National Provider Identifier
1700935376
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
542 Issued in NV
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

Updated by the provider on Aug 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
542OtherNVNEVADA 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Chang and Engle MDS PCGroup PAC ID 5496838286, 5 clinicians

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 100Reported as apm
Quality
81.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chang & Engle MDS, PC CurrentSince Aug 2, 2009 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.