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LYNDON GRAVES OD NPI 1205886736


NPI Information

NPI: 1205886736
Provider Name: LYNDON GRAVES, OD
Classification: Optometrist - 152W00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
9239 W CENTER RD
SUITE 103
OMAHA, NE
ZIP 68124
Phone: (402) 898-3232
Get Directions

Lyndon Graves, OD is an optometrist in Omaha, NE. The provider is 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. Lyndon Graves, OD NPI is 1205886736. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9239 W CENTER RD
SUITE 103
OMAHA, NE
ZIP 68124-900
Phone: (402) 898-3232
Fax: (402) 898-3234

The NPI 1205886736 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/12/2006 and was last updated on 4/30/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist0601800388VIRGINIANo
2152W00000XOptometrist15201890IOWANo
3152W00000XOptometrist2277COLORADONo
4152W00000XOptometrist2967TOREGONNo
5152W00000XOptometristOD00003880WASHINGTONNo
6152W00000XOptometrist5659180-9934UTAHNo
7152W00000XOptometrist1387LOUISIANANo
8152W00000XOptometrist998NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11473839MEDICAIDLOUISIANA
2156377ZD26MEDICARE PINDISTRICT OF COLUMBIA
3G8907765MEDICARE PINWASHINGTON
4P00165710MEDICARE PIN
5R163672MEDICARE PINOREGON
6VV2517AMEDICARE PINVIRGINIA
7IB2388001MEDICARE PINIOWA
8NA2058002MEDICARE PINNEBRASKA
9P00096408MEDICARE PIN
10NA2057002MEDICARE PINNEBRASKA
114R158DW67MEDICARE PINLOUISIANA
12G8907714MEDICARE PINWASHINGTON
13P00822818MEDICARE PINIOWA
14VV2517A662MEDICARE PINVIRGINIA
152029544MEDICAIDWASHINGTON
16NA2059002MEDICARE PINNEBRASKA
17P00043289MEDICARE PINNEBRASKA
18P00176089MEDICARE PIN
1938550OTHERIOWABLUECROSS BLUESHIELD
20IB2387001MEDICARE PINIOWA
21P00303245MEDICARE PIN
22U000075637MEDICARE PINUTAH
23IB2383001MEDICARE PINIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.