Organization Active NPI

Lynn M Dimartino OD PC

  • Point of Service
  • Battle Creek, MI
National Provider Identifier
1265609101
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
4901002999 Issued in MI
Legal business name
LYNN M DIMARTINO OD PC
Practice address
7055 Tower Rd
Suite E
Battle Creek, MI 49014-8604
Phone
(269) 968-8183
Fax
(269) 968-1998
NPI assigned
May 9, 2008
Last updated
Dec 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Authorized official

Name
Lynn M Dimartino, O.D.
Title
President
Phone
(269) 968-8183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 4901002999 MI Primary

Addresses

Primary practice location

7055 Tower Rd
Suite E
Battle Creek, MI 49014-8604

Mailing address

7055 Tower Rd
Suite E
Battle Creek, MI 49014-8604
Phone (269) 968-8183

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1265609101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7055 TOWER RD",
            "address_2": "SUITE E",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490148604",
            "telephone_number": "269-968-8183",
            "fax_number": "269-968-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7055 TOWER RD",
            "address_2": "SUITE E",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490148604",
            "telephone_number": "269-968-8183",
            "fax_number": "269-968-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN M DIMARTINO OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "DIMARTINO",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-968-8183",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MI",
            "license": "4901002999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.