Individual provider Active NPI

Lyn-Marie Behmke, OD

  • Optometrist
  • East Providence, RI
National Provider Identifier
1104930841
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTA00474 Issued in RI
Practice address
2757 Pawtucket Ave
East Providence, RI 02914-3347
Phone
(401) 434-5532
Fax
(401) 435-5405
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODTA00474 RI Primary
Optometrist 152W00000X 4096 MA

Addresses

Primary practice location

2757 Pawtucket Ave
East Providence, RI 02914-3347

Mailing address

2757 Pawtucket Ave
East Providence, RI 02914-3347
Phone (401) 434-5532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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

Enrollment IDStateProvider typePAC IDDetails
I20070920000893 RI Practitioner - Optometry 8527166560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Lyn-Marie Behmke ODGroup PAC ID 9638277676, 3 clinicians

Practice addresses (Care Compare)

2757 Pawtucket Ave
East Providence, RI 02914-3347
Phone (401) 434-5532

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4096MAMDRegistered Dietitian
ODTA00474RIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Lyn-Marie Behmke OD Optometrist CurrentSince Apr 15, 2007 Accepting new patients
New Hope Chiropractic, LLC PastSince Mar 30, 2025 Accepting new patients

Locations

2757 Pawtucket Ave
East Providence, RI 02914
Phone (401) 434-5532

2728 Pawtucket Ave
East Providence, RI 02914
Phone (401) 433-3600

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1104930841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2757 PAWTUCKET AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029143347",
            "telephone_number": "401-434-5532",
            "fax_number": "401-435-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 PAWTUCKET AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029143347",
            "telephone_number": "401-434-5532",
            "fax_number": "401-435-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHMKE",
        "first_name": "LYN-MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTA00474",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4096",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

Verify at the official NPI Registry.