Lyndon Graves (NPI# 1205886736, PAC ID# 7517879000) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1205886736 |
| PAC ID by PECOS | 7517879000 |
| Professional Enrollment ID | I20040331000640 |
| Full Name | Lyndon Graves |
| Organization Legal Name | PROFESSIONAL PROVIDER ENTERPRISE LLC |
| Address |
2730 Crow Creek Rd Bettendorf IA 52722-2066 |
| Phone Number | 5633327463 |
| Gender | M |
| Credential | OD |
| Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
| Graduation Year | 1989 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0840458667 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2730 Crow Creek Rd, Bettendorf, IA 52722-2066 | 5633327463 | PROFESSIONAL PROVIDER ENTERPRISE LLC |
| 11700 E 10 Mile Rd, Bortz Health Care of Warren, Warren, MI 48089-3903 | 5867595960 | SENIOR VISION SERVICES LLC |
| Organization Legal Name | PROFESSIONAL PROVIDER ENTERPRISE LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cory James Jensen | Optometry | Professional Provider Enterprise LLC | 135 S 336th St, Federal Way, WA 98003-6350 |
| Shannon Seymour | Optometry | Professional Provider Enterprise LLC | 1475 Se 100th Ave, Portland, OR 97216-2537 |
| Vitaliy Pelikhatyy | Optometry | Professional Provider Enterprise LLC | 11850 Sw Allen Blvd, Beaverton, OR 97005-4805 |
| Sarah Paige Henderson | Optometry | Professional Provider Enterprise LLC | 135 S 336th St, Federal Way, WA 98003-6350 |
| Street Address |
2730 CROW CREEK RD |
| City | BETTENDORF |
| State | IA |
| Zip | 52722-2066 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn Ann Welzenbach | Nurse Practitioner | Karefirst Iowa PC | 2730 Crow Creek Rd, Bettendorf, IA 52722-2066 |
| Reetu Priya | Nurse Practitioner | Karefirst Iowa PC | 2730 Crow Creek Rd, Bettendorf, IA 52722-2066 |
| James Keith Frainey | Psychologist, Clinical | Deer Oaks Mental Health Associates PC | 2730 Crow Creek Rd, Bettendorf, IA 52722-2066 |
| Chelsie Bruck | Nurse Practitioner | Karefirst Iowa PC | 2730 Crow Creek Rd, Bettendorf, IA 52722-2066 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua D Blunt | Chiropractic | 2500 18th St, Bettendorf, IA 52722-0301 | |
| Gary E Anderson | Family Medicine | Genesis Health System | 4321 53rd Ave, Genesis Health Group, Bettendorf, IA 52722-1269 |
| Whitney R Hess | Physician Assistant | Genesis Health System | 4321 53rd Ave, Genesis Health Group, Bettendorf, IA 52722-1269 |
| Sandra K Droessler | Physician Assistant | Genesis Health System | 4321 53rd Ave, Genesis Health Group, Bettendorf, IA 52722-1269 |
| Marc E Hoskins | Physician Assistant | Genesis Health System | 4321 53rd Ave, Genesis Health Group, Bettendorf, IA 52722-1269 |
| Robert J Knudson | Family Medicine | Genesis Health System | 4321 53rd Ave, Genesis Health Group, Bettendorf, IA 52722-1269 |
| Robert D Mixsell | Family Medicine | Genesis Health System | 4321 53rd Ave, Genesis Health Group, Bettendorf, IA 52722-1269 |
| Anna M Hansen | Physician Assistant | Genesis Health System | 4321 53rd Ave, Genesis Health Group, Bettendorf, IA 52722-1269 |
| Areeba F Ahsan | Family Medicine | Genesis Health System | 4321 53rd Ave, Genesis Health Group, Bettendorf, IA 52722-1269 |
| Christina L Thornburg | Nurse Practitioner | Genesis Health System | 4321 53rd Ave, Genesis Health Group, Bettendorf, IA 52722-1269 |
| Find all physicians in zip 52722 | |||
| City | BETTENDORF |
| Zip Code | 52722 |
| Specialty | OPTOMETRY |
| City + Specialty | BETTENDORF + OPTOMETRY |
Please comment or provide details below to improve the information on Lyndon Graves.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.