Individual provider Active NPI

Jacqueline Cardozo Lyons, OD

  • Optometrist
  • Lake Worth, FL
National Provider Identifier
1831176528
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP2694 Issued in FL
Practice address
5970 D Jog Rd
Lake Worth, FL 33467
Phone
(561) 967-1888
Fax
(561) 967-1998
NPI assigned
Dec 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP2694 FL Primary

Addresses

Primary practice location

5970 D Jog Rd
Lake Worth, FL 33467

Mailing address

1280 Lantana Rd
Ste 1
Lantana, FL 33462-1543
Phone (561) 967-1888

Other identifiers 1

IdentifierTypeStateIssuer
084956100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190529001485 FL Practitioner - Optometry 2365785763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erickson Costello Butler Erickson Optometrist PAGroup PAC ID 2961499173, 4 clinicians
Stephanie Cortes OD PAGroup PAC ID 7810324233, 3 clinicians

Practice addresses (Care Compare)

1280 W Lantana Rd
Suite 1
Lantana, FL 33462-1543
Phone (561) 582-8821

706 W Boynton Beach Blvd
Suite 101
Boynton Beach, FL 33426-3621
Phone (561) 738-1700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP2694FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Howell Cohen O D P a Optometrist CurrentSince Aug 1, 2021 Accepting new patients
Stephanie Cortes OD PA Optometrist CurrentSince Aug 1, 2021 Accepting new patients
Erickson Costello Butler Erickson Optometrist PA Optometrist CurrentSince Dec 5, 2018 Accepting new patients
Barton Parker, OD, PC Optometrist Past Accepting new patients

Locations

706 W Boynton Beach Blvd
Ste 101
Boynton Beach, FL 33426
Phone (561) 732-5665

1280 W Lantana Rd
Ste 1
Lantana, FL 33462
Phone (561) 582-3383

Interoperability endpoints

  • Direct secure messaging: drlyons@eyecaredoctors.eyefinity-direct.com

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": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1831176528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 LANTANA RD",
            "address_2": "STE 1",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334621543",
            "telephone_number": "561-967-1888",
            "fax_number": "561-967-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5970 D JOG RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33467",
            "telephone_number": "561-967-1888",
            "fax_number": "561-967-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "JACQUELINE",
        "middle_name": "CARDOZO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP2694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084956100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.