DR. KEVIN GREELEY LYDON (NPI# 1114056231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114056231 |
Entity Type | Individual |
Full Name | DR. KEVIN GREELEY LYDON |
Credential | O.D. |
Practice Address |
6764 Mexico Rd Saint Peters MO 63376-1505 |
Practice Telephone | 6363972020 |
Mailing Telephone | 6363972020 |
Enumeration Date | 2007-03-05 |
Last Update Date | 2009-08-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
TO 2357 | MO | Eye and Vision Services Providers |
Street Address |
6764 MEXICO RD |
City | SAINT PETERS |
State | MO |
Zip Code | 63376-1505 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669988242 | Pec St Peters LLC | Optometrist | 6764 Mexico Rd, Saint Peters, MO 63376-1505 | 2017-12-19 |
1881823334 | Saint Peters Eye Care Center Ltd. | Optometrist | 6764 Mexico Rd, Saint Peters, MO 63376-1505 | 2009-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
Find all providers in zip 63376 |
Taxonomy Code | 152WC0802X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Specialization | Corneal and Contact Management |
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508086166 | Marlin B Neil | Optometrist | 12312 Olive Blvd Ste 150, Saint Louis, MO 63141-5468 | 2007-04-26 |
1184759284 | Ralph Melvin Butler | Optometrist | 401 Supercenter Dr, Walmart Vision Center, Jefferson City, MO 65101-8190 | 2007-02-22 |
1972645919 | Thomas Stanley Sandler | Optometrist | Jc Penney Optical, 4 Mid Rivers Mall Drive, St. Peters, MO 63376 | 2007-02-13 |
1811039910 | Rick Jon Unsell | Optometrist | 7436 Nw River Park Dr, Parkville, MO 64152-5028 | 2007-02-13 |
1659421303 | Ira Nathan Ettinger | Optometrist | 1701 Aroy Dr., Washington, MO 63090 | 2007-01-12 |
1588722748 | Morio Miyamoto | Optometrist | 720 Olive St, Suite 420, Saint Louis, MO 63101-2338 | 2006-12-04 |
1578649547 | Lawrence Allen Aurich | Optometrist | 12420 So. 71 Highway, Grandview, MO 64030 | 2006-10-31 |
1093823924 | Jeffrey Donald Laferla | Optometrist | 8301 N Congress Ave, Kansas City, MO 64152-2041 | 2006-08-29 |
1356454060 | Frank Joseph Bier | Optometrist | 14037 Manchester Rd, Manchester, MO 63011-4513 | 2006-08-16 |
1548206576 | William H Gosnell | Optometrist | 17950 E 39th St S, Independence, MO 64055-3850 | 2006-06-20 |
Find all providers with the same taxonomy |
City | SAINT PETERS |
Zip Code | 63376 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.