Individual
DR. MICHAEL J LYONS
Active
Individual
DR. MICHAEL J LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5222/T2126
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000217699
BCBS
—
05
—
200387390
—
IL
05
—
2284540
—
OH
01
—
410047222
RAILROAD MEDICARE
OH
05
—
77000560
—
KY
Enumeration date
06/29/2006
Last updated
06/23/2016
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