Lyn Verna, LICENSED OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

NJ-31TD00202600 Issued in NJ

Practice address

26035 Ridge Rd
Damascus, MD 20872-1848

Phone

(301) 253-0734

Fax

(301) 253-0736

NPI assigned

Feb 1, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467599837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26035 RIDGE RD",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208721848",
            "telephone_number": "301-253-0734",
            "fax_number": "301-253-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26035 RIDGE RD",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208721848",
            "telephone_number": "301-253-0734",
            "fax_number": "301-253-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNA",
        "first_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "LICENSED OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NJ",
            "license": "NJ-31TD00202600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED PROVIDER NUMBER",
            "identifier": "NJ2026",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA PROVIDER NUMBER",
            "identifier": "23106",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan Timberlake, LCSW-C
• Ambrose Jing-Hay To, D.D.S.
• Elizabeth Tsakiris, PH.D
• Kelly Ann Valceanu, RN, CNM
• Michael Kimo Van Gieson
• Visionary Eye Physicians - Damascus (Visionary Eye Doctors)
• Walgreen Co (Rite Aid #4729)
• Amber Warmsley, M.D.
• Deborah Ann Watkins
• Weis Markets Inc (Weis Pharmacy)

• Optician in Damascus, MD
• Providers in Damascus, MD by specialty
• Optician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.