John P Lyles Optometrist is a
Optometrist based in Calvert City, Kentucky. John P Lyles Optometrist is licensed to practice in Kentucky (license number 1292DT) and their current practice location is
43 Industrial Parkway, Calvert City, Kentucky. It can be reached at their office (for appointments etc.) via phone at
(270) 395-8331.
NPI number for John P Lyles Optometrist is 1477735694 and their current mailing address is Po Box 7451, Paducah, Kentucky. John P Lyles Optometrist
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1477735694.
Healthcare Provider's Profile
| Full Name | John P Lyles Optometrist |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 43 Industrial Parkway, Calvert City, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1477735694
- Provider Enumeration Date: 11/29/2007
- Last Update Date: 03/15/2011
Medical Identifiers
Medical identifiers for John P Lyles Optometrist such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477735694 | NPI | - | NPPES |
| 000000058828 | Other | KY | BCBS KY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1292DT (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John P Lyles Optometrist is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John P Lyles Optometrist
Po Box 7451,
Paducah, KY 42002-7451
Ph: (270) 443-9904 | John P Lyles Optometrist
43 Industrial Parkway,
Calvert City, KY 42029
Ph: (270) 395-8331 |
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