Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Keith Lyston, OD

Individual provider Optometrist · NPI 1861614810

Dr. Keith Lyston, OD is an Optometry in Godfrey, Illinois. Graduated from University of Missouri St Louis - School of Optometry in 1992, 34 years ago. Practices with Associated Vision Care, Ltd, a 2-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
34
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
IL, MO
In the registry since
2007
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

3300 Godfrey Rd
Godfrey, IL 62035-2558
Phone: (618) 466-8787
Fax: (618) 466-4703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046008572 (IL)
Optometrist Taxonomy 152W00000X · Licence TO3050 (MO)

Record details

NPI number1861614810
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 2, 2007
Last updated in NPPESFebruary 19, 2020
Certification dateFebruary 19, 2020
Mailing address3300 Godfrey Rd, Godfrey, IL 62035-2558

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 1992 (34 years in practice)
Group practice Associated Vision Care, Ltd — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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