Graves, Lyndon
Graves, Lyndon is an individual health care provider with primary practice located at 9239 W Center Rd Suite 103, Omaha NE 68124-1900. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Graves, Lyndon can be contacted via phone (402) 898-3232.Contact Information
Primary practice address
9239 W Center Rd Suite 103
Omaha NE 68124-1900
Phone: (402) 898-3232
Fax: (402) 898-3234
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0601800388 | Virginia |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 998 | Nebraska |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 15201890 | Iowa |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2277 | Colorado |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2967T | Oregon |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD00003880 | Washington |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5659180-9934 | Utah |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1387 | Louisiana |
Profile Details
| NPI number | 1205886736 |
|---|---|
| LBN Legal business name | Graves, Lyndon |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Apr 30th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205886736 | NPPES |
| Iowa | Other | 38550 | BLUECROSS BLUESHIELD |
| Iowa | MEDICAID | 2029544 | BLUECROSS BLUESHIELD |
| Iowa | MEDICAID | 1473839 | BLUECROSS BLUESHIELD |
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