Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEITH LYSTON, O.D.
ActiveDR. KEITH LYSTON, O.D. is a Optometrist healthcare provider located in GODFREY, Illinois. NPI 1861614810 is currently active in the NPPES registry. Verify at CMS.
Optometrist · GODFREY, IL
Registration Details
- NPI Number
- 1861614810
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 2, 2007 (19.249075893926 yrs)
- Last Updated
- Feb 19, 2020
- Licenses
-
TO3050 (MO)046008572 (IL)
Practice Information
- Address
-
3300 GODFREY RDGODFREY, IL, 620352558Browse IL providers · Browse ZIP 62035
- Phone
- 6184668787
- Fax
- 6184664703
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in GODFREY, IL
| Name | Credential | NPI |
|---|---|---|
| RON LOFLIN | O.D. | 1720170921 |
| ADEYINKA A ADEWALE | O.D. | 1467533661 |
| DR. MARK EDWARD FERGUSON | O.D. | 1598897456 |
| BRADLEY D MARTINSON | OD | 1174774079 |
| ANDREW IBISCH | OD | 1700356912 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.