CHARLES ELIOT LYON M.D. NPI 1558380303

NPI Information

  • NPI: 1558380303
  • Provider Name: CHARLES ELIOT LYON, M.D.
  • Classification: Ophthalmology - 207WX0107X
  • Specialization: Retina Specialist
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 836 OLIVE ST
    SHREVEPORT, LA
    ZIP 71104
  • Phone: (318) 222-8421

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NPI Details

Charles Eliot Lyon, M.D. is a retina specialist ophthalmology in Shreveport, LA with 46 years of experience. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. Charles Eliot Lyon, M.D. NPI is 1558380303. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year:1980

The provider's business location address is:

836 OLIVE ST
SHREVEPORT, LA
ZIP 71104-102
Phone: (318) 222-8421
Fax: (318) 222-0651

The NPI 1558380303 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), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, aflibercept, 1 mg (HCPCS:J0178)
  • Imaging of retina (HCPCS:92134)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection of drug into eye (HCPCS:67028)
  • Injection, bevacizumab, 10 mg (HCPCS:J9035)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Photocoagulation treatment to prevent detachment of retina (HCPCS:67145)
  • Destruction of leaking blood vessels of retina using laser (HCPCS:67228)

The enumeration date for this NPI number is 7/19/2006 and was last updated on 4/7/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207WX0107XOphthalmologyRetina SpecialistM2383TEXASNo
2207WX0107XOphthalmologyRetina Specialist016354LOUISIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
150356F600MEDICARE ID-TYPE UNSPECIFIEDLOUISIANA
2B62344MEDICARE UPINLOUISIANA
31352543MEDICAIDLOUISIANA

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: 11/21/2025

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