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Keith Lyston, O.D
NPI 1861614810 · on the registry since 2007
Practice
- Address
- 3300 Godfrey Rd
Godfrey, IL 62035 - Phone
- (618) 466-8787
- Fax
- (618) 466-4703
- Organisation at this address
- Rose Optical, Inc.
Illini Optometric PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Also registered as
- Optometrist
- Licence states on file
- MO, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-02-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois