NPIMap

Individual provider Active NPI

Patrick J Lydon, O.D.

  • Optometrist
  • La Quinta, CA
National Provider Identifier
1710006465
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7263 Issued in CA
Practice address
47474 Washington St
La Quinta, CA 92253-8846
Phone
(760) 469-5213
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7263 CA Primary

Addresses

Primary practice location

47474 Washington St
La Quinta, CA 92253-8846

Mailing address

77251 Tribecca St
Indian Wells, CA 92210-6123
Phone (510) 402-7076

Other practice location 1

44139 Monterey Ave Ste A
Palm Desert, CA 92260-8700
Phone (760) 469-5195

Other practice location 2

1801 E Tahquitz Canyon Way Ste 200
Palm Springs, CA 92262-7123
Phone (760) 269-4291

Other practice location 3

81952 US Highway 111 Ste Bcd
Indio, CA 92201-9799
Phone (442) 300-9209

Other practice location 4

72-393 Hwy.111
Ste A
Palm Desert, CA 92260
Phone (760) 862-0033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7263CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Luxottica of America Inc. Past Accepting new patients
Advanced Eyecare Professional Optometric Group Optometrist PastSince May 28, 2011 Accepting new patients
Pearle Visioncare, Inc Past Accepting new patients
Luxottica of America Inc 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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1710006465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77251 TRIBECCA ST",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922106123",
            "telephone_number": "510-402-7076",
            "fax_number": "760-360-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47474 WASHINGTON ST",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922538846",
            "telephone_number": "760-469-5213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44139 Monterey Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922608700",
            "country_code": "US",
            "telephone_number": "760-469-5195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 E Tahquitz Canyon Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922627123",
            "country_code": "US",
            "telephone_number": "760-269-4291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81952 US Highway 111 Ste Bcd",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "922019799",
            "country_code": "US",
            "telephone_number": "442-300-9209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "72-393 HWY.111",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "92260",
            "country_code": "US",
            "telephone_number": "760-862-0033",
            "fax_number": "760-340-4407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYDON",
        "first_name": "PATRICK",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.