Lyons Eye LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

LYONS EYE LLC

Practice address

1320 NE 106TH Ave
Portland, OR 97220-3966

Phone

(503) 908-2020

NPI assigned

Dec 11, 2018

Organization subpart

No

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

Authorized official

Name

Jennifer Lyons, MDNPI 1629069026

Title

Owner

Phone

(503) 908-2020

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Locations

Practitioners 2

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

• Jennifer L Lyons, MD

  • Ophthalmology Physician
  • Portland, OR
  • NPI 1629069026
  Medicare reassignment Care Compare group NPD Authorized official
• Eric R Brown, OD

  • Optometrist
  • Portland, OR
  • NPI 1639171135
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1871064154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 NE 106TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203966",
            "telephone_number": "503-908-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 NE 106TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203966",
            "telephone_number": "503-908-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3348 Highway 101 N",
            "address_purpose": "LOCATION",
            "city": "Gearhart",
            "state": "OR",
            "postal_code": "971384316",
            "country_code": "US",
            "telephone_number": "503-908-2020",
            "fax_number": "503-908-2028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LYONS EYE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-908-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Alison Lyon, AGPCNP-C, APRN, MSN
• Miranda Lyon, LCSW
• Roxy A Lyon, LMT
• Valerie Margaret Lyon, M.ED., L.M.T.
• Vanessa Anderson Lyon, ND
• Christopher Gabriel Lyons
• Jennifer L Lyons, MD
• Katherine Lyons, MD
• Kelsey Jo Lyons, MD
• Laura Lyons, LPC

• Ophthalmology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Ophthalmology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.