JOHN P LYLES OPTOMETRIST (NPI# 1477735694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477735694 |
| Entity Type | Organization |
| Organization Name | JOHN P LYLES OPTOMETRIST |
| Practice Address |
43 Industrial Parkway Calvert City KY 42029 |
| Mailing Address |
Po Box 7451 Paducah KY 42002-7451 |
| Practice Telephone | 2703958331 |
| Practice Fax Number | 2703955360 |
| Mailing Telephone | 2704439904 |
| Mailing Fax Number | 2705750717 |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2011-03-15 |
| Authorized Official Name | JOHN LYLES (OPTOMETRIST) |
| Authorized Official Telephone | 2703958331 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1292DT | KY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | BCBS KY | 000000058828 | 01 |
| Street Address |
43 INDUSTRIAL PARKWAY |
| City | CALVERT CITY |
| State | KY |
| Zip Code | 42029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619497179 | Sunetta Barrett | Registered Nurse | 563 East 5th Ave, Calvert City, KY 42029 | 2017-06-26 |
| 1649790882 | Cynthia Jill Landon | Registered Nurse | 3110 Hwy 95, Calvert City, KY 42029 | 2017-06-20 |
| 1285018564 | Jason Doughty | Physical Therapy Assistant | 186 Breeze Lane, Calvert City, KY 42029 | 2015-07-16 |
| 1104127125 | Gary Webster Smith | Dentist | 404 Fifth Ave., Calvert City, KY 42029 | 2010-11-08 |
| 1750694972 | Marshall County Health Department | Public Health or Welfare | 503 A 5th Ave S.e., Calvert City, KY 42029 | 2010-07-16 |
| 1578727491 | Jenny Sanderson Story | Speech-Language Pathologist | 110 Convalescent Dr, Calvert City, KY 42029 | 2008-07-10 |
| 1285897678 | Michele Christine Stariwat | Occupational Therapy Assistant | 110 Convalescent Drive, Calvert City, KY 42029 | 2008-07-07 |
| 1194986984 | Scott C Stephenson | Chiropractor | 1665 Oak Park Boulevard, Suite A, Calvert City, KY 42029 | 2008-06-24 |
| 1528254299 | Andrea Norenne Jennings | Massage Therapist | 5119 U.S. Highway 62, Calvert City, KY 42029 | 2007-09-17 |
| 1770610826 | Barry Jay Wilson | Dentist | 404 Fifth Avenue, Calvert City, KY 42029 | 2007-02-27 |
| Find all providers in zip 42029 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306191218 | Ben Leonard | Optometrist | 43 Industrial Pkwy, Calvert City, KY 42029-8416 | 2012-07-17 |
| 1356750848 | Clarkson Optometry Midwest Inc. | Optometrist | 43 Industrial Pkwy, Calvert City, KY 42029-8416 | 2014-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443163 | Eyemax2020 | Optometrist | 3070 Harrodsburg Rd Ste 130, Lexington, KY 40503-2764 | 2020-10-05 |
| 1639780224 | Family First Vision Care Kentucky | Optometrist | 3801 Mall Rd Ste 115, Lexington, KY 40503-4492 | 2020-08-17 |
| 1548871130 | Family First Vision Care Kentucky | Optometrist | 4318 Alexandria Pike, Cold Spring, KY 41076-2040 | 2020-08-17 |
| 1871104364 | Jarrod Lee Napier | Optometrist | 103 Chera Lyn Ln, London, KY 40741 | 2020-08-10 |
| 1164032512 | Bright Eyes Clinic, LLC | Optometrist | 2290 W Jeff Davis Hwy, Elkton, KY 42220-8708 | 2020-07-31 |
| 1568080828 | Maivys Hernandez Longa | Optometrist | 715 Shaker Dr Ste 120, Lexington, KY 40504-3674 | 2020-07-13 |
| 1154949147 | Garrett Scott Kee | Optometrist | 166 S Carol Malone Blvd Ste A, Grayson, KY 41143-1352 | 2020-07-07 |
| 1275150310 | Liza Stremick | Optometrist | 3701 Hopewell Rd Ste 900, Louisville, KY 40299-5395 | 2020-07-05 |
| 1063039451 | Haleigh Stringer | Optometrist | 2905 New Hartford Rd, Owensboro, KY 42303-1323 | 2020-07-01 |
| 1063045284 | National Vision Inc | Optometrist | 10337 Dixie Hwy, Louisville, KY 40272-3951 | 2020-02-17 |
| Find all providers with the same taxonomy | ||||
| City | CALVERT CITY |
| Zip Code | 42029 |
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| 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.