Individual provider Active NPI

Lynn Markose, O.D.

  • Optometrist
  • Prosper, TX
National Provider Identifier
1154517316
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6704T Issued in TX
Practice address
1061 N Coleman St Ste 120
Prosper, TX 75078-2321
Phone
(469) 850-2920
NPI assigned
Sep 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12655 CA
Optometrist 152W00000X 6704T TX Primary

Addresses

Primary practice location

1061 N Coleman St Ste 120
Prosper, TX 75078-2321

Mailing address

1061 N Coleman St Ste 120
Prosper, TX 75078-2321
Phone (469) 850-2920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120517000121 TX Practitioner - Optometry 2769441047 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12655CAMDOptometrist
6704TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Collective PLLC Optometrist CurrentSince Oct 1, 2025 Accepting new patients
Socialeyes Eyecare, PLLC Optometrist CurrentSince Feb 2, 2016 Accepting new patients
Luxottica of America Inc Past Accepting new patients
Luxottica of America Inc. Past Accepting new patients

Locations

1061 N Coleman St
Ste 120
Prosper, TX 75078
Phone (469) 850-2920

Organizations & group practices 4

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": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1154517316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 N COLEMAN ST STE 120",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782321",
            "telephone_number": "469-850-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 N COLEMAN ST STE 120",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782321",
            "telephone_number": "469-850-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOSE",
        "first_name": "LYNN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12655",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6704T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

Verify at the official NPI Registry.