Individual provider Active NPI

Matthew Douglas Lyons, OD

  • Optometrist
  • Allen, TX
National Provider Identifier
1922732262
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10655TG Issued in TX
Practice address
1546 Stacy Rd Ste 100
Allen, TX 75002-8721
Phone
(214) 383-5400
Fax
(214) 383-5203
NPI assigned
Jul 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10655TG TX Primary

Addresses

Primary practice location

1546 Stacy Rd Ste 100
Allen, TX 75002-8721

Mailing address

1546 Stacy Rd Ste 100
Allen, TX 75002-8721
Phone (214) 383-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220921002798 TX Practitioner - Optometry 6507241908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optometric Associates of Texas P.a.Group PAC ID 8527041326, 14 clinicians

Practice addresses (Care Compare)

215 Adams Dr
Suite 201
Weatherford, TX 76086-6739
Phone (817) 594-0409

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10655TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mdphillipsod PLLC Optometrist CurrentSince Jul 1, 2022 Accepting new patients
Optometric Associates of Texas P.a. Optometrist CurrentSince Feb 11, 2026 Accepting new patients

Locations

305 W FM 1382
Ste 500
Cedar Hill, TX 75104
Phone (972) 293-0373

4012 Preston Rd
Ste 500
Plano, TX 75093
Phone (972) 985-3638

215 Adams Dr
Ste 201
Weatherford, TX 76086
Phone (817) 594-0409

Organizations & group practices 2

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": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1922732262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 STACY RD STE 100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750028721",
            "telephone_number": "214-383-5400",
            "fax_number": "214-383-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546 STACY RD STE 100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750028721",
            "telephone_number": "214-383-5400",
            "fax_number": "214-383-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "MATTHEW",
        "middle_name": "DOUGLAS",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-12",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10655TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.