Individual provider Active NPI

Caitlyn Woods Lynne, OD

  • Optometrist
  • Saint Cloud, FL
National Provider Identifier
1144459215
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4697 Issued in FL
Practice address
2050 Old Hickory Tree Rd
Saint Cloud, FL 34772-8926
Phone
(407) 556-3969
NPI assigned
Jul 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002261 PA
Optometrist 152W00000X OPC 4697 FL Primary

Addresses

Primary practice location

2050 Old Hickory Tree Rd
Saint Cloud, FL 34772-8926

Mailing address

9624 Renwick CT
Orlando, FL 32832-5997
Phone (610) 836-2779

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

LicenseStateTypeSpecialty
OPC 4697FLMDOptometrist
OEG002261PAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1144459215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9624 RENWICK CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328325997",
            "telephone_number": "610-836-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 OLD HICKORY TREE RD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347728926",
            "telephone_number": "407-556-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS LYNNE",
        "first_name": "CAITLYN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002261",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.