Provider Demographics
NPI:1306044110
Name:BREWER AND LYONS EYECARE, LTD
Entity Type:Organization
Organization Name:BREWER AND LYONS EYECARE, LTD
Other - Org Name:VALLEY EYECARE & EYEWEAR GALLERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SOMER
Authorized Official - Middle Name:
Authorized Official - Last Name:LYONS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:775-783-1111
Mailing Address - Street 1:1538 US HIGHWAY 395 N
Mailing Address - Street 2:
Mailing Address - City:GARDNERVILLE
Mailing Address - State:NV
Mailing Address - Zip Code:89410-5402
Mailing Address - Country:US
Mailing Address - Phone:775-232-2311
Mailing Address - Fax:
Practice Address - Street 1:1644 US HIGHWAY 395 N
Practice Address - Street 2:UNIT B-1
Practice Address - City:MINDEN
Practice Address - State:NV
Practice Address - Zip Code:89423-4320
Practice Address - Country:US
Practice Address - Phone:775-783-1111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-03
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV489152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVU99359Medicare UPIN
NVV101318Medicare PIN
NV6361050001Medicare NSC