LYONS EYE LLC
NPI 1871064154
Ophthalmology in Portland, OR

Active since December 11, 2018CLIA Certified · 2 labs
1320 NE 106TH AVE, PORTLAND, OR 97220(503) 908-2020 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 11, 2023, Feb 10, 2021, May 4, 2019 and 1 more (4 updates tracked since 2018).

About Lyons Eye Llc NPPES

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

LYONS EYE LLC (NPI 1871064154) is a healthcare organization registered as an ophthalmology in Portland, Oregon and active in the NPI registry since December 2018. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Gearhart, and lists Jennifer Lyons, Owner, as its authorized official.

NPPES Registry Identity

NPI1871064154
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameLYONS EYE LLC
Location Address1320 NE 106TH AVEPortland, OR 97220-3966
Mailing Address1320 Ne 106th AvePortland, OR 97220-3966 · (503) 908-2020
Organization SubpartNo
Authorized OfficialJennifer LyonsOwner · (503) 908-2020
Enumeration DateDecember 11, 2018
Last NPPES UpdateDecember 11, 20234 updates tracked since enumeration
NPPES CertifiedDecember 11, 2023
✔ NPI 1871064154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOptometristTaxonomy 152W00000X
1320 NE 106TH AVE, Portland, OR 97220

Secondary Practice Location 1

Location 13348 Highway 101 NGearhart, OR 97138-4316 · Phone (503) 908-2020 · Fax (503) 908-2028

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)

Lyons Eye Llc 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
StateOregonEnrollment IDO20190329000572DME · Physician - OphthalmologyDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lyons Eye LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Optometry
NPI 1639171135
1320 NE 106TH AVE
Portland, OR 97220
(503) 908-2020
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1629069026
1320 NE 106TH AVE
Portland, OR 97220
(503) 908-2020
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2278588

Lyons Eye LLC - Portland · Portland, OR
Active · expires Mar 20, 2027
CLIA Number38D2278588
Laboratory TypePhysician Office
Certificate Effective DateMarch 21, 2025
Certificate Expiration DateMarch 20, 2027
Laboratory DirectorJennifer L. Lyons
Laboratory Phone(503) 908-2020
Laboratory LocationLyons Eye LLC - Portland1320 NE 106th Ave, Portland, OR 97220
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D2278596

Lyons Eye LLC - Seaside · Seaside, OR
Active · expires Mar 20, 2027
CLIA Number38D2278596
Laboratory TypePhysician Office
Certificate Effective DateMarch 21, 2025
Certificate Expiration DateMarch 20, 2027
Laboratory DirectorJennifer L. Lyons
Laboratory Phone(503) 908-2020
Laboratory LocationLyons Eye LLC - Seaside727 S Wahanna Rd, Suite 101, Seaside, OR 97138
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Lyons Eye LLC's NPI number?

The NPI number for Lyons Eye LLC is 1871064154. It was assigned to this organization in the NPPES registry on December 11, 2018.

Where is Lyons Eye LLC located?

Lyons Eye LLC is located at 1320 NE 106th Ave, Portland, OR 97220. The listed phone number is (503) 908-2020.

What is Lyons Eye LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Lyons Eye LLC enrolled in Medicare?

Yes. Lyons Eye LLC is registered in the Medicare PECOS enrollment system.

When is Lyons Eye LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Oregon, Physician - Ophthalmology) 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 Lyons Eye LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Lyons Eye LLC, in Ophthalmology and Optometry. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lyons Eye LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Lyons Eye LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, BridgeSpan Health Company, Moda Health Plan, Inc. and PacificSource Health Plans and 2 other insurers list Lyons Eye LLC 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 Lyons Eye LLC was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.