DR. KEVIN GREELEY LYDON


Address: 6764 Mexico Rd, Saint Peters, MO 63376-1505
Phone: 6363972020

DR. KEVIN GREELEY LYDON (NPI# 1114056231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114056231
Entity Type Individual
Full Name DR. KEVIN GREELEY LYDON
Credential O.D.
Practice Address 6764 Mexico Rd
Saint Peters
MO 63376-1505
Practice Telephone 6363972020
Mailing Telephone 6363972020
Enumeration Date 2007-03-05
Last Update Date 2009-08-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152WC0802X Optometrist
Specialization: Corneal and Contact Management
TO 2357 MO Eye and Vision Services Providers

Office Location

Street Address 6764 MEXICO RD
City SAINT PETERS
State MO
Zip Code 63376-1505

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669988242 Pec St Peters LLC Optometrist 6764 Mexico Rd, Saint Peters, MO 63376-1505 2017-12-19
1881823334 Saint Peters Eye Care Center Ltd. Optometrist 6764 Mexico Rd, Saint Peters, MO 63376-1505 2009-07-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275047946 Nicholas Christian Schultz Dentist 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 2017-11-16
1982120093 Carol Weber Speech-Language Pathologist 166 Boone Hills Dr., St Peters, MO 63376 2017-08-21
1619424744 Forefront Dermatology, S.c. Dermatology 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 2016-09-07
1508310632 Preferred Family Healthcare, Inc. Counselor 2120 Parkway Dr, Saint Peters, MO 63376 2016-08-05
1598130676 Delta Center Personal Attendant Services In Home Supportive Care 3833 Mcclay, Suite 61, St. Peters, MO 63376 2015-12-01
1427420314 Barbara Marlene Edelman Counselor 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 2015-10-30
1255740247 Claire Williams Dentist 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 2014-08-05
1184042855 Keith Wickenhauser Internal Medicine 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 2014-03-31
1821415233 Abby Link Physician Assistant 107 Piper Parkway, #150, St. Peters, MO 63376 2014-03-24
1225452105 Ashley Gagel Physical Therapist 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 2014-02-12
Find all providers in zip 63376

Taxonomy Information

Taxonomy Code 152WC0802X
Grouping Eye and Vision Services Providers
Classification Optometrist
Specialization Corneal and Contact Management

Taxonomy Definition

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Notes: Source: American Optometric Association [1/1/2009: added definition, added source]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508086166 Marlin B Neil Optometrist 12312 Olive Blvd Ste 150, Saint Louis, MO 63141-5468 2007-04-26
1184759284 Ralph Melvin Butler Optometrist 401 Supercenter Dr, Walmart Vision Center, Jefferson City, MO 65101-8190 2007-02-22
1972645919 Thomas Stanley Sandler Optometrist Jc Penney Optical, 4 Mid Rivers Mall Drive, St. Peters, MO 63376 2007-02-13
1811039910 Rick Jon Unsell Optometrist 7436 Nw River Park Dr, Parkville, MO 64152-5028 2007-02-13
1659421303 Ira Nathan Ettinger Optometrist 1701 Aroy Dr., Washington, MO 63090 2007-01-12
1588722748 Morio Miyamoto Optometrist 720 Olive St, Suite 420, Saint Louis, MO 63101-2338 2006-12-04
1578649547 Lawrence Allen Aurich Optometrist 12420 So. 71 Highway, Grandview, MO 64030 2006-10-31
1093823924 Jeffrey Donald Laferla Optometrist 8301 N Congress Ave, Kansas City, MO 64152-2041 2006-08-29
1356454060 Frank Joseph Bier Optometrist 14037 Manchester Rd, Manchester, MO 63011-4513 2006-08-16
1548206576 William H Gosnell Optometrist 17950 E 39th St S, Independence, MO 64055-3850 2006-06-20
Find all providers with the same taxonomy

Competitor

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City SAINT PETERS
Zip Code 63376

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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