NPIMap

Organization Active NPI

Lynn & York, Optometrists, PC

Doing business as Northfield Eye Care

  • Optometrist
  • Clarksville, TN
National Provider Identifier
1346449733
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD0000001639 Issued in TN
Legal business name
LYNN & YORK, OPTOMETRISTS, PC
Doing business as
Northfield Eye Care
Sango Eye Care
Practice address
2699 Townsend CT
Clarksville, TN 37043-6487
Phone
(931) 647-8417
Fax
(931) 648-4435
NPI assigned
Jul 16, 2007
Last updated
Feb 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Authorized official

Name
Dr. Bart D Lynn, O.D.NPI 1457325201
Title
President
Phone
(931) 647-8417

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OD0000001639 TN Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OD2869 TN

Addresses

Primary practice location

2699 Townsend CT
Clarksville, TN 37043-6487

Mailing address

2699 Townsend CT
Clarksville, TN 37043-6487
Phone (931) 647-8417

Other practice location 1

3929 Lamar Dr
Ste B
Clarksville, TN 37040
Phone (931) 245-3937 ext. 203

Other identifiers 1

IdentifierTypeStateIssuer
Q009057MedicaidTN

Other names 2

  • Northfield Eye Care Doing business as
  • Sango Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070827000734 TN Part B Supplier - Clinic/Group Practice 5395837926 Receives reassigned benefits from 6 practitioners
Practice locations: Clarksville, TN
O20141003002116 TN DME Supplier - Physician - Optometrist 5395837926 Practice locations: Clarksville, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Lynn & York Optometrists PC2699 Townsend CT, Clarksville, TN 37043-6487(931) 647-8417 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jun 1, 1995

National Provider Directory

National Provider Directory

Locations

1760 Memorial Dr
Clarksville, TN 37043
Phone (615) 647-8417

2699 Townsend Ct
Clarksville, TN 37043
Phone (931) 647-8417

3929 Lamar Dr
Ste B
Clarksville, TN 37040
Phone 9312453937 ext. 203

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1346449733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 TOWNSEND CT",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436487",
            "telephone_number": "931-647-8417",
            "fax_number": "931-648-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 TOWNSEND CT",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436487",
            "telephone_number": "931-647-8417",
            "fax_number": "931-648-4435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3929 Lamar Dr",
            "address_2": "Ste B",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "37040",
            "country_code": "US",
            "telephone_number": "931-245-3937 x203",
            "fax_number": "931-647-0354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LYNN & YORK, OPTOMETRISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "BART",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-647-8417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD0000001639",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD2869",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q009057",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northfield Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sango Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sango Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.