Organization Active NPI

Dr Lyn-Marie Behmke OD

  • Optometrist
  • East Providence, RI
National Provider Identifier
1295893790
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
RIOD341 Issued in RI
Legal business name
DR LYN-MARIE BEHMKE OD
Practice address
2757 Pawtucket Ave
East Providence, RI 02914-3347
Phone
(401) 434-5532
Fax
(401) 435-5405
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Authorized official

Name
Dr. Lyn-Marie Behmke, ODNPI 1104930841
Title
Owner
Phone
(401) 434-5532

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X RIOD341 RI Primary

Addresses

Primary practice location

2757 Pawtucket Ave
East Providence, RI 02914-3347

Mailing address

2757 Pawtucket Ave
East Providence, RI 02914-3347
Phone (401) 434-5532

Other names 1

  • Dr Thomas Antonian OD Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070614000307 RI Part B Supplier - Clinic/Group Practice 9638277676 Receives reassigned benefits from 4 practitioners
Practice locations: East Providence, RI

National Provider Directory

National Provider Directory

Locations

2757 Pawtucket Ave
East Providence, RI 02914
Phone (401) 434-5532

Practitioners & affiliated clinicians

Practitioners 6

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1295893790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2757 PAWTUCKET AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029143347",
            "telephone_number": "401-434-5532",
            "fax_number": "401-435-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 PAWTUCKET AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029143347",
            "telephone_number": "401-434-5532",
            "fax_number": "401-435-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LYN-MARIE BEHMKE OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "BEHMKE",
        "authorized_official_first_name": "LYN-MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-434-5532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "RI",
            "license": "RIOD341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Thomas Antonian OD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in East Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.