Lyn Brown Oxley, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001073 Issued in GA

Practice address

104 Andrew St Ste 112
Vidalia, GA 30474-7241

Phone

(912) 537-4447

Fax

(912) 537-2743

NPI assigned

Nov 22, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Optometry Associates, PC

  • Optometrist
  • Vidalia, GA
  • NPI 1043385172
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1073688115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 406",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304750406",
            "telephone_number": "912-537-4447",
            "fax_number": "912-537-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 ANDREW ST STE 112",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304747241",
            "telephone_number": "912-537-4447",
            "fax_number": "912-537-2743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Durden St",
            "address_purpose": "LOCATION",
            "city": "Vidalia",
            "state": "GA",
            "postal_code": "304744606",
            "country_code": "US",
            "telephone_number": "912-537-4447",
            "fax_number": "912-537-2743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OXLEY",
        "first_name": "LYN",
        "middle_name": "BROWN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0003442801B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oconee Sleep Center, LLC
• On Point Mobile Phlebotomy LLC
• Optim Orthopedics, LLC (Optim Orthopedics-Vidalia)
• Optometry Associates, PC
• Timothy Justin Osborne, M.D.
• Mark William Oxley, DMD
• Ramachandra R Paidi, M.D
• Pain Treatment Centers of Georgia LLC
• David Hansell Paine, M.D.
• Paula Rajendra Patel-Drewry, MD

• Optometrist in Vidalia, GA
• Providers in Vidalia, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.