LYNDON GRAVES (OD) – Optometrist, NPI 1205886736

LYNDON GRAVES (OD) is a healthcare provider. based in Omaha, Nebraska. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 0601800388 (VA). The NPI Number for LYNDON GRAVES (OD) is 1205886736

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
LYNDON GRAVES (OD)
NPI
1205886736
Phone
(402) 898-3232
Address
9239 W CENTER RD
Enumeration Date
12 May 2006
Last Update Date
30 April 2015

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
5633327463
Graduation Year
1989 (37 years ago)
PAC ID
7517879000
Group Practice PAC ID
0840458667
Professional Enrollment ID
I20040331000640
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:20State licenses:8Digital endpointsOther names

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Provider Addresses for LYNDON GRAVES (OD)

  • West Center Road, Millard, Omaha, Douglas County, Nebraska, 68124, United States

    STE 103

    OMAHA, NE 681241900

    Phone: (402) 898-3232

    Fax: (402) 898-3234

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-08-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090805000756IOptometryNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68124)

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Provider's Procedures

LYNDON GRAVES (OD) performs procedures in Optometrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYNE92012Eye and medical examination for diagnosis and treatment, established patient4541

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840458667View full group profile
NameSpecialtyState
O P T O M E T R YIA
O P T O M E T R YNV
O P T O M E T R YFL
O P T O M E T R YIA
O P T O M E T R YWA
-WA
O P T O M E T R YKS
O P T O M E T R YWA
O P T O M E T R YNE

Reviews

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Frequently asked questions

What identifier follows LYNDON GRAVES (OD) across health systems?
The NPI 1205886736 uniquely identifies LYNDON GRAVES (OD) in U.S. healthcare data.
Is LYNDON GRAVES (OD)'s NPI status active today?
Active status means LYNDON GRAVES (OD)'s NPI record is not deactivated in the public file.
What type of care does LYNDON GRAVES (OD) provide?
LYNDON GRAVES (OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Is LYNDON GRAVES (OD) tied to Omaha, Nebraska?
If you are local to Omaha, Nebraska, LYNDON GRAVES (OD) may be relevant to your search.
Why is information missing for LYNDON GRAVES (OD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.