DR. KEVIN GREELEY LYDON O.D.
NPI 1114056231
Optometrist - Corneal and Contact Management in Saint Peters, MO

Active since March 05, 2007
6764 MEXICO RD, SAINT PETERS, MO 63376(636) 397-2020 Get Directions Write a Review

NPPES record last updated: August 12, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Optometrist
  • Corneal and Contact Management

About KEVIN LYDON

This page provides the complete NPI Profile along with additional information for Kevin Lydon, a provider established in Saint Peters, Missouri with a medical specialization in Optometrist, focusing in corneal and contact management . The healthcare provider is registered in the NPI registry with number 1114056231 assigned on March 2007. The practitioner's primary taxonomy code is 152WC0802X with license number TO 2357 (MO). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1114056231 Verify this NPI
Provider Name
DR. KEVIN GREELEY LYDON O.D.
Gender
Male
Entity Type
Individual
Location Address
6764 MEXICO RD SAINT PETERS, MO 63376
Location Phone
(636) 397-2020
Mailing Address
6764 MEXICO RD SAINT PETERS, MO 63376
Mailing Phone
(636) 397-2020
Is Sole Proprietor?
No
Enumeration Date
03-05-2007
Last Update Date
08-12-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist Corneal and Contact Management

Taxonomy Code
152WC0802X
Type
Eye and Vision Services Providers
License No.
TO 2357
License State
MO
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
MA1309001MEDICARE PIN (08)MO 

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Optometrist
6764 MEXICO RD
SAINT PETERS, MO 63376
Optometrist
6764 MEXICO RD
SAINT PETERS, MO 63376

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114056231, enumerated as an "individual" on March 05, 2007.

The provider is located at 6764 MEXICO RD SAINT PETERS, MO 63376 and the phone number is (636) 397-2020.

Optometrist with taxonomy code 152WC0802X and a focus in Corneal and Contact Management.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.