CHARLES E LYON, MD, APMC
NPI 1689789562
Optometrist in Shreveport, LA

Active since August 20, 2006
836 OLIVE ST, SHREVEPORT, LA 71104(318) 222-8421(318) 673-8970 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Charles E Lyon, Md, Apmc NPPES

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

CHARLES E LYON, MD, APMC (NPI 1689789562), doing business as Vitreo-retinal Associates, is a healthcare organization registered as an optometrist in Shreveport, Louisiana and active in the NPI registry since August 2006. The organization lists Charles E Lyon, President, as its authorized official.

NPPES Registry Identity

NPI1689789562
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameCHARLES E LYON, MD, APMC
Location Address836 OLIVE STShreveport, LA 71104-2102
Mailing Address836 Olive StShreveport, LA 71104-2102 · (318) 222-8421 · Fax (318) 673-8970
Fax(318) 673-8970
Organization SubpartNo
Authorized OfficialCharles E LyonPresident · (318) 222-8421
Enumeration DateAugust 20, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1689789562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
Also ListedOphthalmologyTaxonomy 207W00000X

Other Names 1

Former Legal Business NameVitreo-retinal Associates

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles E Lyon, Md, Apmc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20080424000104Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Charles E Lyon, MD, Apmc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (6)

Optometry
NPI 1265545644
VITREO-RETINAL ASSOCIATES 836 OLIVE STREET
Shreveport, LA 71104
(318) 222-8421
✔ PECOS✔ Accepts Medicare
Optometry
NPI 1558978700
946 KEYSER AVE
Natchitoches, LA 71457
(318) 357-8194
✔ PECOS✔ Accepts Medicare
Optometry
NPI 1376990523
4224 TEXAS BLVD
Texarkana, TX 75503
(479) 216-4548
✔ PECOS✔ Accepts Medicare
Ophthalmology
NPI 1558380303
836 OLIVE ST
Shreveport, LA 71104
(318) 222-8421
✔ PECOS✔ Accepts Medicare
Ophthalmology
NPI 1780684183
4800 TEXAS BLVD STE 100
Texarkana, TX 75503
(318) 222-8421
✔ PECOS✔ Accepts Medicare
Optometry
NPI 1376899633
1727 GALLERIA OAKS DR
Texarkana, TX 75503
(903) 792-2020
✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Charles E Lyon, MD, Apmc's NPI number?

The NPI number for Charles E Lyon, MD, Apmc is 1689789562. It was assigned to this organization in the NPPES registry on August 20, 2006. The provider was formerly known as Vitreo-Retinal Associates.

Where is Charles E Lyon, MD, Apmc located?

Charles E Lyon, MD, Apmc is located at 836 Olive St, Shreveport, LA 71104. The listed phone number is (318) 222-8421.

What is Charles E Lyon, MD, Apmc's specialty?

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

Is Charles E Lyon, MD, Apmc enrolled in Medicare?

Yes. Charles E Lyon, MD, Apmc is registered in the Medicare PECOS enrollment system.

When is Charles E Lyon, MD, Apmc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Charles E Lyon, MD, Apmc?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Charles E Lyon, MD, Apmc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Optometry (4) and Ophthalmology (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Charles E Lyon, MD, Apmc accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Charles E Lyon, MD, Apmc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles E Lyon, MD, Apmc was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.