Individual
DR. DENNIS H LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD FAAO
Contact information
Practice address
990 CEDARBRIDGE AVE, BRICK, NJ 08723-4159
(732) 920-0110
(732) 920-7881
Mailing address
990 CEDARBRIDGE AVE, BRICK, NJ 08723-4159
(732) 920-0110
(732) 920-7881
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00341100
NJ
152WC0802X
Corneal and Contact Management Optometrist
27OA00341100
NJ
152WP0200X
Pediatric Optometrist
27OA00341100
NJ
152WS0006X
Sports Vision Optometrist
27OA00341100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2920603
—
NJ
Enumeration date
06/15/2006
Last updated
02/14/2008
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