Lyon, Elizabeth
Lyon, Elizabeth is an individual health care provider with primary practice located at 3630 Austin Bluffs Pkwy Ste 120 , Colorado Springs CO 80918-6663. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Lyon, Elizabeth can be contacted via phone (719) 304-5400.Contact Information
Primary practice address
3630 Austin Bluffs Pkwy Ste 120
Colorado Springs CO 80918-6663
Phone: (719) 304-5400
Fax: (719) 304-5409
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 27OA00655000 | New Jersey |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT.0003123 | Colorado |
Profile Details
| NPI number | 1588043137 |
|---|---|
| LBN Legal business name | Lyon, Elizabeth |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2015 |
| Last updated | Jun 12th, 2019 - about 6 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 | 1588043137 | NPPES |
| Colorado | Other | OPT.0003123 | CO OPTOMETRY LICENSE |
| Colorado | MEDICAID | 72671815 | CO OPTOMETRY LICENSE |
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