Provider Demographics
NPI:1154463354
Name:LYON, KARY (OD)
Entity Type:Individual
Prefix:DR
First Name:KARY
Middle Name:
Last Name:LYON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3310 ASPEN GROVE DR STE 106
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2935
Mailing Address - Country:US
Mailing Address - Phone:615-771-8686
Mailing Address - Fax:615-771-6689
Practice Address - Street 1:3310 ASPEN GROVE DR STE 106
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-2935
Practice Address - Country:US
Practice Address - Phone:615-771-8686
Practice Address - Fax:615-771-6689
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2018-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNODT-1311152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist