Individual provider · NPI-1

Michael Lyons, optician

Technician/Technologist, Optician · Paramus, NJ

NPI number1285886143
StatusActive
Last updated in NPPESOct 22, 2008

Details

NPI
1285886143
Entity type
Individual (NPI-1)
Name
Mr. Michael Lyons
Credential
optician
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 22, 2008
Last updated
Oct 22, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician31TD00205500NJYes

Practice location

2100 Paramus Park Mall
Sterling Optical
Paramus, NJ 07652-3546

Phone 201-712-9838 · Fax 201-712-9848

Mailing address

2100 Paramus Park Mall
Sterling Optical
Paramus, NJ 07652-3546

Phone 201-712-9838 · Fax 201-712-9848

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