Active NPI
Lynette Hyland Braun, OD
- Optometrist
- Dallas, TX
National Provider Identifier
1003974429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4175TG
- Practice address
- 462 Northpark Center
Dallas, TX 75225 - Phone
- (214) 368-0059
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4175TG | TX | Primary |
Addresses
Primary practice location
462 Northpark Center
Dallas, TX 75225
Mailing address
462 Northpark Center
Dallas, TX 75225
Phone (214) 368-0059
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4175TG | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191456000000",
"number": "1003974429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "462 NORTHPARK CENTER",
"city": "DALLAS",
"state": "TX",
"postal_code": "75225",
"telephone_number": "214-368-0059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 NORTHPARK CENTER",
"city": "DALLAS",
"state": "TX",
"postal_code": "75225",
"telephone_number": "214-368-0059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUN",
"first_name": "LYNETTE",
"middle_name": "HYLAND",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2007-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "4175TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.