Dr Mark Lynn & Associates PLLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

DR MARK LYNN & ASSOCIATES PLLC

Practice address

5304J Mount View Rd
Antioch, TN 37013-7317

Phone

(615) 731-2701

Fax

(615) 731-3629

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Visionworks Doctors of Optometry Doing business as

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1497838148",
    "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": "5304J MOUNT VIEW RD",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370137317",
            "telephone_number": "615-731-2701",
            "fax_number": "615-731-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MARK LYNN & ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "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": "3598405",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionworks Doctors of Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in Antioch, TN
• Providers in Antioch, TN by specialty
• Eyewear Supplier in Tennessee

• 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.

Verify at the official NPI Registry.