Keith Lyston is a Optometrist in Godfrey, Illinois. Keith Lyston practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Keith Lyston is 1861614810. The last update date is 2020-02-19.
Keith Lyston's current location address is 3300 Godfrey Rd, Godfrey, Illinois. You can contact this provider via phone number 6184668787 and fax number 6184668787. The mailing address for Keith Lyston is 3300 Godfrey Rd, Godfrey, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Lyston |
|---|---|
| Address | 3300 Godfrey Rd, Godfrey, Illinois |
| Phone Number | 6184668787 |
| Fax Number | 6184668787 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1861614810 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2020-02-19 |
Provider Mailing Address Detail
| Address | 3300 Godfrey Rd |
|---|---|
| City | Godfrey |
| State | Illinois (IL) |
| Post Code | 620352558 |
| Phone Number | 6184668787 |
| Fax Number | 6184668787 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | TO3050 |
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Definition: 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 |
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What is the unique identifier code issued to Keith Lyston by the Centers for Medicare & Medicaid Services (CMS)?
The Keith Lyston has been assigned the NPI (National Provider Identifier) 1861614810. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Keith Lyston is located?
The Keith Lyston is situated at the following address: 3300 Godfrey Rd, Godfrey, IL, 620352558.
What is Keith Lyston's specialized field of practice, and what is the corresponding taxonomy classification code?
The Keith Lyston's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1861614810 to Keith Lyston?
The Keith Lyston received its 1861614810 assignment from the Centers for Medicare & Medicaid Services on 2007-05-02.
As of what date was the information regarding Keith Lyston, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Keith Lyston, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-02-19.
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