Organization Active NPI

Lynn Eye Medical Group

  • Ophthalmic Technician/Technologist
  • Thousand Oaks, CA
National Provider Identifier
1245357565
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X
License
G44847 Issued in CA
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Charles Alan Cooper, M.D.NPI 1730303082
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)CodeLicenseStatePrimary
Ophthalmic Technician/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
WG44847COtherCAPPIN
G44847OtherCALISCENCE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.