Active NPI
Lynn Eye Medical Group
- Ophthalmic Technician/Technologist
- Thousand Oaks, CA
National Provider Identifier
1245357565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Technician/Technologist
- License
- G44847
- Legal business name
- LYNN EYE MEDICAL GROUP
- Practice address
- 2230 Lynn Rd Ste 102
Thousand Oaks, CA 91360-1920 - Phone
- (805) 495-0458
- Fax
- (805) 494-9630
- NPI assigned
- Mar 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Alan Cooper, M.D.
- Title
- Ophthalmologist
- Phone
- (805) 495-0458
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmic Technician/Technologist | 156FX1100X | G44847 | CA | Primary |
Addresses
Primary practice location
2230 Lynn Rd Ste 102
Thousand Oaks, CA 91360-1920
Mailing address
2230 Lynn Rd Ste 102
Thousand Oaks, CA 91360-1920
Phone (805) 495-0458
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WG44847C | Other | CA | PPIN |
| G44847 | Other | CA | LISCENCE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- San Francisco, CA
- NPI 1730303082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1245357565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2230 LYNN RD STE 102",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913601920",
"telephone_number": "805-495-0458",
"fax_number": "805-494-9630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 LYNN RD STE 102",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913601920",
"telephone_number": "805-495-0458",
"fax_number": "805-494-9630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LYNN EYE MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "OPHTHALMOLOGIST",
"authorized_official_telephone_number": "805-495-0458",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "156FX1100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Ophthalmic",
"state": "CA",
"license": "G44847",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPIN",
"identifier": "WG44847C",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LISCENCE",
"identifier": "G44847",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.