Active NPI
Dr. Mark Lynn & Associates PLLC
- Eyewear Supplier
- Madison, TN
National Provider Identifier
1417031808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- DR. MARK LYNN & ASSOCIATES PLLC
- Practice address
- 1701 Gallatin Road
Madison, TN 37115 - Phone
- (615) 868-2000
- Fax
- (615) 860-0277
- NPI assigned
- Oct 24, 2006
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
1701 Gallatin Road
Madison, TN 37115
Mailing address
PO Box 846027
Dallas, TX 75284-6027
Phone (210) 524-6663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1454186 | Medicaid | TN |
Other names 1
- Visionworks Doctors of Optometry
National Provider Directory
National Provider DirectoryNPI 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": "1375920000000",
"number": "1417031808",
"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": "1701 GALLATIN ROAD",
"city": "MADISON",
"state": "TN",
"postal_code": "37115",
"telephone_number": "615-868-2000",
"fax_number": "615-860-0277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. MARK LYNN & ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2013-08-08",
"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": "1454186",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Visionworks Doctors of Optometry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Madison, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.