Active NPI
John J Lynch Jr., RDO
- Optician
- North Kingstown, RI
National Provider Identifier
1013164359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- RI0114
- Practice address
- 7665 Post Rd
North Kingstown, RI 02852-3220 - Phone
- (401) 295-1334
- Fax
- (401) 295-1358
- NPI assigned
- Aug 19, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | RI0114 | RI | Primary |
Addresses
Primary practice location
7665 Post Rd
North Kingstown, RI 02852-3220
Mailing address
7665 Post Rd
North Kingstown, RI 02852-3220
Phone (401) 295-1334
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PV13450 | Medicaid | RI |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RI0114 | RI | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro Vision Inc. Dba Ferocious Eyes Optical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- N Kingstown, RI
- NPI 1295860419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219104000000",
"number": "1013164359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7665 POST RD",
"city": "NORTH KINGSTOWN",
"state": "RI",
"postal_code": "028523220",
"telephone_number": "401-295-1334",
"fax_number": "401-295-1358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7665 POST RD",
"city": "NORTH KINGSTOWN",
"state": "RI",
"postal_code": "028523220",
"telephone_number": "401-295-1334",
"fax_number": "401-295-1358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "JOHN",
"middle_name": "J",
"name_suffix": "Jr.",
"credential": "RDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-19",
"last_updated": "2008-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "RI",
"license": "RI0114",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PV13450",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Kingstown, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.