Individual provider Active NPI

James Michael Lyons, OD

  • Optometrist
  • Savage, MN
National Provider Identifier
1912982547
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1953 Issued in MN
Practice address
14333 Hwy 13 S
Savage, MN 55378-2153
Phone
(952) 226-1411
Fax
(952) 226-1413
NPI assigned
Dec 6, 2005
Last updated
May 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1953 MN Primary

Addresses

Primary practice location

14333 Hwy 13 S
Savage, MN 55378-2153

Mailing address

10335 166TH St W
Lakeville, MN 55044-8785
Phone (952) 435-8747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20130529000501 MN Practitioner - Optometry 7517098825 Practice locations: Lino Lakes, MN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1953MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
James M, Lyons, OD PastSince Jan 1, 2013 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1912982547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10335 166TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550448785",
            "telephone_number": "952-435-8747",
            "fax_number": "952-435-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14333 HWY 13 S",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782153",
            "telephone_number": "952-226-1411",
            "fax_number": "952-226-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "1953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savage, MN

Sources for this page

Verify at the official NPI Registry.