NPIMap

Organization Active NPI

Lynn R Henry Optometrist PC

  • Optometrist
  • Ilion, NY
National Provider Identifier
1275717852
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV003458-1 Issued in NY
Legal business name
LYNN R HENRY OPTOMETRIST PC
Practice address
23 Central PLZ
Ilion, NY 13357-1701
Phone
(315) 894-3325
NPI assigned
Dec 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Dr. Lynn R Henry, OD
Title
President
Phone
(315) 894-3325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV003458-1 NY Primary

Addresses

Primary practice location

23 Central PLZ
Ilion, NY 13357-1701

Mailing address

23 Central PLZ
Ilion, NY 13357-1701
Phone (315) 894-3325

National Provider Directory

National Provider Directory

Locations

23 Central Plz
Ilion, NY 13357
Phone (315) 894-3325

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": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1275717852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CENTRAL PLZ",
            "city": "ILION",
            "state": "NY",
            "postal_code": "133571701",
            "telephone_number": "315-894-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CENTRAL PLZ",
            "city": "ILION",
            "state": "NY",
            "postal_code": "133571701",
            "telephone_number": "315-894-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN R HENRY OPTOMETRIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-894-3325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003458-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ilion, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.