Kimberly Lyons OD a Professional Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

12837 Issued in CA

Legal business name

KIMBERLY LYONS OD A PROFESSIONAL OPTOMETRIC CORPORATION

Doing business as

Lyons Optometry

Practice address

8911 Lakewood Dr
Suite 11
Windsor, CA 95492-7856

Phone

(707) 838-9393

NPI assigned

Apr 30, 2015

Last updated

Dec 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly M Lyons, O.D.NPI 1225241714

Title

President

Phone

(707) 838-9393

Specialties & licenses 1

Addresses

Other names 1

• Lyons Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Machele Lyons, OD

  • Optometrist
  • Windsor, CA
  • NPI 1225241714
  Medicare reassignment Authorized official
• Linda Vang, OD

  • Optometrist
  • Santa Rosa, CA
  • NPI 1912748575
  Medicare reassignment NPD

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1831576610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8911 LAKEWOOD DR",
            "address_2": "SUITE 11",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954927856",
            "telephone_number": "707-838-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8911 LAKEWOOD DR",
            "address_2": "SUITE 11",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954927856",
            "telephone_number": "707-838-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY LYONS OD A PROFESSIONAL OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-838-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lyons Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aliezah Hulett, CMT
• Catherine Marie Jackson, LPTA
• Jeffrey Iwami, OD, Inc
• Trevor Johnson, CWCII
• Lisa Ann Keele
• Laura Therese Kimbro, DO
• Bonnie Kneibler, MD
• Emily Kong, PPS
• Ira Koren, D.D.S.
• Evan Y Kubota

• Optometrist in Windsor, CA
• Providers in Windsor, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.