Kristine Lynn, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1694 Issued in GA

Practice address

4166 Jimmy Lee Smith Pkwy Ste G
Hiram, GA 30141-3289

Phone

(770) 439-4230

NPI assigned

Feb 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lynn Family Eyecare PC

  • Optometrist
  • Hiram, GA
  • NPI 1235900887
  NPD Authorized official
• National Vision, Inc.

  • Eyewear Supplier
  • Hiram, GA
  • NPI 1649226523
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1407998388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 NEWBERRY WAY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4166 JIMMY LEE SMITH PKWY STE G",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301413289",
            "telephone_number": "770-439-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "KRISTINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001694",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Dana Lockerman, D.C.
• Kathleen A. Long, MD
• Mary Lacy Lusk, PT, DPT
• Luxottica Retail North America Inc
• Lynn Family Eyecare PC
• Darian Lyons
• M&M Prime LLC
• Rita M Mahmoud, PHD
• Robert Maina
• Alexis Malcolm, NP

• Optometrist in Hiram, GA
• Providers in Hiram, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.