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Organization
CHARLES E LYON, MD, APMC
Active
Organization
CHARLES E LYON, MD, APMC
Active
Other names
VITREO-RETINAL ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E LYON SR. MD (PRESIDENT)
(318) 222-8421
Entity
Organization
Contact information
Practice address
836 OLIVE ST, SHREVEPORT, LA 71104-2102
(318) 222-8421
(318) 673-8970
Mailing address
836 OLIVE ST, SHREVEPORT, LA 71104-2102
(318) 222-8421
(318) 673-8970
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
207W00000X
Ophthalmology Physician
—
NULL
207W00000X
Ophthalmology Physician
—
—
Other
Enumeration date
08/20/2006
Last updated
09/11/2025
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