Charles Eliot Lyon in Shreveport - Retina Specialist
Charles Eliot Lyon - NPI 1558380303
Charles Eliot Lyon is a Retina Specialist in Shreveport, Louisiana. Charles Eliot Lyon practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Charles Eliot Lyon is 1558380303. The last update date is 2017-04-07.
Charles Eliot Lyon's current location address is 836 Olive St, Shreveport, Louisiana. You can contact this provider via phone number 3182228421 and fax number 3182220651. The mailing address for Charles Eliot Lyon is 836 Olive St, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Eliot Lyon |
|---|---|
| Address | 836 Olive St, Shreveport, Louisiana |
| Phone Number | 3182228421 |
| Fax Number | 3182220651 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1558380303 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2017-04-07 |
Provider Mailing Address Detail
| Address | 836 Olive St |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711042102 |
| Phone Number | 3182228421 |
| Fax Number | 3182220651 |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
| Licence No | 16354 |
|
Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1352543 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Charles Eliot Lyon by the Centers for Medicare & Medicaid Services?
The Charles Eliot Lyon has been issued the NPI (National Provider Identifier) 1558380303 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Charles Eliot Lyon's facilities are geographically located?
The facilities of Charles Eliot Lyon are physically situated at the following location: 836 Olive St, Shreveport, LA, 711042102.
What is Charles Eliot Lyon's area of expertise and its corresponding taxonomy classification?
The Charles Eliot Lyon's field of specialization is Retina Specialist, and it falls under the taxonomy code 207Wx0107X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1558380303 to Charles Eliot Lyon?
The Centers for Medicare & Medicaid Services originally issued the 1558380303 to Charles Eliot Lyon on 2006-07-19.
When was the information regarding Charles Eliot Lyon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Charles Eliot Lyon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-04-07.