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LYNDON GRAVES OD
NPI 1205886736
Optometrist in Omaha, NE

Active since May 12, 2006PECOS Enrolled
9239 W CENTER RD, SUITE 103, OMAHA, NE 68124(402) 898-3232(402) 898-3234 Get Directions Write a Review

NPPES record last updated: April 30, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lyndon Graves Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYNDON GRAVES OD (NPI 1205886736) is an individual optometrist in Omaha, Nebraska, licensed in Nebraska (998) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205886736
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameLYNDON GRAVESCredential: OD
Location Address9239 W CENTER RD, SUITE 103Omaha, NE 68124-1900
Mailing Address9239 W Center Rd, Ste 103Omaha, NE 68124-1900 · (402) 898-3232 · Fax (402) 898-3234
Phone(402) 898-3232
Fax(402) 898-3234
Sole ProprietorNo
Enumeration DateMay 12, 2006
Last NPPES UpdateApril 30, 2015
✔ NPI 1205886736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in NE · 998✔ Licensed in VA · 0601800388✔ Licensed in IA · 15201890✔ Licensed in CO · 2277✔ Licensed in OR · 2967T✔ Licensed in WA · OD00003880✔ Licensed in UT · 5659180-9934✔ Licensed in LA · 1387
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
9239 W CENTER RD, Omaha, NE 68124
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Other Identifiers 23

Medicaid1473839LA
Medicare PIN156377ZD26DC
Medicare PING8907765WA
Medicare PINP00165710
Medicare PINR163672OR
Medicare PINVV2517AVA
Medicare PINIB2388001IA
Medicare PINNA2058002NE
Medicare PINP00096408
Medicare PINNA2057002NE
Medicare PIN4R158DW67LA
Medicare PING8907714WA
Medicare PINP00822818IA
Medicare PINVV2517A662VA
Medicaid2029544WA
Medicare PINNA2059002NE
Medicare PINP00043289NE
Medicare PINP00176089
Other38550IA · Bluecross Blueshield
Medicare PINIB2387001IA
Medicare PINP00303245
Medicare PINU000075637UT
Medicare PINIB2383001IA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lyndon Graves Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE J BERGERSON MD
Psychiatry & Neurology (Psychiatry)
9239 W CENTER RD, SUITE 225
OMAHA, NE 68124
Douglas County (402) 505-9550
SHELLY ANN TAYLOR LCSW
Counselor
9239 W CENTER RD
OMAHA, NE 68124
Douglas County (402) 354-8000
KATHRYN S. WHITE MS
Counselor
9239 W CENTER RD, SUITE # 207
OMAHA, NE 68124
Douglas County (402) 354-8000
CHARLES TUCKER VANDYCK O.D.
Optometrist
9239 W CENTER RD, SUITE 103
OMAHA, NE 68124
Douglas County (402) 898-3232
KAELA JOHNSON PLMHP
Counselor (Mental Health)
9239 W CENTER RD
OMAHA, NE 68124
Douglas County (402) 354-6891
DR. ASHLEY WOOD WALTERS MD
Psychiatry & Neurology (Psychiatry)
9239 W CENTER RD, STE 211
OMAHA, NE 68124
Douglas County (402) 399-9305
MELISSA GENRICH
Registered Nurse
9239 W CENTER RD
OMAHA, NE 68124
Douglas County (402) 399-8888
MS. KATHRYN E RIST LCSW
Social Worker
9239 W CENTER RD, SUITE 211
OMAHA, NE 68124
Douglas County (402) 399-9305

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lyndon Graves's NPI number?

The NPI number for Lyndon Graves is 1205886736. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Lyndon Graves located?

Lyndon Graves practices at 9239 W Center Rd Suite 103, Omaha, NE 68124. The listed phone number is (402) 898-3232.

What is Lyndon Graves's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Lyndon Graves enrolled in Medicare?

Yes. Lyndon Graves is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lyndon Graves was last updated on April 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.