| Charles Eliot Lyon, MD | |
|
836 Olive St, Shreveport, LA 71104-2102 | |
| (318) 222-8421 | |
| (318) 222-0651 |
| Full Name | Charles Eliot Lyon |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 46 Years |
| Location | 836 Olive St, Shreveport, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558380303 | NPI | - | NPPES |
| 1352543 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207WX0107X | Ophthalmology - Retina Specialist | 016354 (Louisiana) | Primary |
| 207WX0107X | Ophthalmology - Retina Specialist | M2383 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Charles E Lyon, Md, Apmc | 1850370099 | 3 |
| Entity Name | Charles E Lyon, Md, Apmc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689789562 PECOS PAC ID: 1850370099 Enrollment ID: O20080424000104 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Eliot Lyon, MD 836 Olive St, Shreveport, LA 71104-2102 Ph: (318) 222-8421 | Charles Eliot Lyon, MD 836 Olive St, Shreveport, LA 71104-2102 Ph: (318) 222-8421 |
Claude Youngblood Bundrick Jr., MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 471 Ashley Ridge Blvd, Shreveport, LA 71106 Phone: 318-795-4770 Fax: 318-795-4775 | |
Rogelio Orillac, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Department Of Ophthalmology, Shreveport, LA 71103 Phone: 318-675-7737 Fax: 318-675-5666 | |
Thomas Boone Redens, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Department Of Ophthalmology, Shreveport, LA 71103 Phone: 318-675-6901 Fax: 318-675-4819 | |
Mary Ellen Berg, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 1068 Winterberry Ln, Shreveport, LA 71106 Phone: 318-469-8400 | |
Ann H Guy, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 471 Ashley Ridge Blvd, Shreveport, LA 71106 Phone: 318-795-4770 Fax: 318-795-4775 | |
Dr. Frederick Randall Kirchner, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 471 Ashley Ridge Blvd., Shreveport, LA 71106 Phone: 318-795-4770 Fax: 318-795-4775 | |
Dr. John D Hinrichsen, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Bert Kouns Loop, Suite #103, Shreveport, LA 71105 Phone: 318-222-8402 Fax: 318-222-4556 |