Active NPI
Lynette K. Johns, O.D.
- Corneal and Contact Management Optometrist
- Waltham, MA
National Provider Identifier
1053407411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 4412
- Practice address
- 1601 Trapelo Rd Ste 184
Waltham, MA 02451-7356 - Phone
- (781) 890-1023
- NPI assigned
- Oct 5, 2006
- Last updated
- Aug 24, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 4412 | MA | Primary |
Addresses
Primary practice location
1601 Trapelo Rd Ste 184
Waltham, MA 02451-7356
Mailing address
1601 Trapelo Rd Ste 184
Waltham, MA 02451-7356
Phone (781) 890-1023
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 |
|---|---|---|---|
| 4412 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massachusetts Eye and Ear Associates, Inc. | Past | Accepting new patients | |
| The Boston Foundation for Sight, Inc. | Corneal and Contact Management | Past | Accepting new patients |
| Boston Eye Associates, P.C. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Needham, MA
- NPI 1649239302
-
- Corneal and Contact Management Optometrist
- Needham, MA
- NPI 1023077757
-
- Ophthalmology Physician
- Providence, RI
- NPI 1598160095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1053407411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 TRAPELO RD STE 184",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024517356",
"telephone_number": "781-890-1023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 TRAPELO RD STE 184",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024517356",
"telephone_number": "781-890-1023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNS",
"first_name": "LYNETTE",
"middle_name": "K.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "MA",
"license": "4412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.