Organization Active NPI

Dr Mark Lynn & Associates PLLC

  • Eyewear Supplier
  • Cape Girardeau, MO
National Provider Identifier
1366526626
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
DR MARK LYNN & ASSOCIATES PLLC
Practice address
3042 William St
Cape Girardeau, MO 63703-6389
Phone
(573) 339-2008
Fax
(573) 339-1020
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Authorized official

Name
Mark Lynn, O.D.
Title
Owner
Phone
(812) 285-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

3042 William St
Cape Girardeau, MO 63703-6389

Mailing address

PO Box 846027
Dallas, TX 75284-6027
Phone (210) 524-6663

Other identifiers 1

IdentifierTypeStateIssuer
325971208MedicaidMO

Other names 1

  • Visionworks Doctors of Optometry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1366526626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846027",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846027",
            "telephone_number": "210-524-6663",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3042 WILLIAM ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036389",
            "telephone_number": "573-339-2008",
            "fax_number": "573-339-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MARK LYNN & ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-285-5050",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "325971208",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionworks Doctors of Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.