Organization Active NPI

Dr. Mark Lynn & Associates, PLLC

Doing business as Visionworks Doctors of Optometry

  • Optometrist
  • Clarksville, IN
National Provider Identifier
1235143538
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR. MARK LYNN & ASSOCIATES, PLLC
Doing business as
Visionworks Doctors of Optometry
Practice address
516 E Lewis and Clark Pkwy
Clarksville, IN 47129-1700
Phone
(812) 282-2020
Fax
(812) 288-2807
NPI assigned
Jul 29, 2006
Last updated
Jul 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Authorized official

Name
Mark Lynn, OD
Title
Owner
Phone
(812) 285-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

516 E Lewis and Clark Pkwy
Clarksville, IN 47129-1700

Mailing address

175 E Houston St
San Antonio, TX 78205-2255
Phone (210) 524-6803

Other identifiers 1

IdentifierTypeStateIssuer
100470960AMedicaidIN

Other names 1

  • Visionworks Doctors of Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

2202 State St
New Albany, IN 47150
Phone (812) 941-0476

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1235143538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E HOUSTON ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052255",
            "telephone_number": "210-524-6803",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 E LEWIS AND CLARK PKWY",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471291700",
            "telephone_number": "812-282-2020",
            "fax_number": "812-288-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARK LYNN & ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-285-5050",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100470960A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionworks Doctors of Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.