Provider Demographics
NPI:1700935376
Name:LYONS, ROBERT D (OD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:D
Last Name:LYONS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:5420 KIETZKE LN
Mailing Address - Street 2:STE 103
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-3022
Mailing Address - Country:US
Mailing Address - Phone:775-329-2300
Mailing Address - Fax:775-329-5514
Practice Address - Street 1:5420 KIETZKE LN
Practice Address - Street 2:STE 103
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-2063
Practice Address - Country:US
Practice Address - Phone:775-329-2300
Practice Address - Fax:775-329-5514
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2009-08-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV542152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV542OtherNEVADA LICENSE