Lyons Prosthetics & Orthotics, Inc.

Primary specialty

ProsthetistTaxonomy code 224P00000X

Legal business name

LYONS PROSTHETICS & ORTHOTICS, INC.

Practice address

121 Waccamaw Medical Park Drive
Conway, SC 29526

Phone

(843) 347-5800

Fax

(843) 347-7469

NPI assigned

Jan 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Alex Lyons

Title

Owner

Phone

(843) 347-7469

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexander L Lyons, CPO

  • Specialist
  • Conway, SC
  • NPI 1174511638
  NPD

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1821077306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 WACCAMAW MEDICAL PARK DRIVE",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "29526",
            "telephone_number": "843-347-5800",
            "fax_number": "843-347-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 WACCAMAW MEDICAL PARK DRIVE",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "29526",
            "telephone_number": "843-347-5800",
            "fax_number": "843-347-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYONS PROSTHETICS & ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-12",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-347-7469",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "SC",
            "license": "026557921",
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lower Cape Fear Hospice, Incorporated
• Vivian Lu, MD
• Jessica P Lukowski, M.D.
• Tracy Dallas Lummus, D.C.
• Kutura B Lynch
• Alexander L Lyons, CPO
• M&M Mitchell Inc.
• Molly Ann Mabry, PA-C
• Aimar P Mack, MD
• Alan Roger Mackenzie, PHYSICAL THERAPIST

• Prosthetist in Conway, SC
• Providers in Conway, SC by specialty
• Prosthetist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.