Mark Edward Lynn, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1072DT Issued in KY

Practice address

801 Edith Rd
Louisville, KY 40206-2280

Phone

(502) 308-5966

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

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 Vision and Training LLC

  • Vision Therapy Optometrist
  • Louisville, KY
  • NPI 1033794326
  Medicare reassignment NPD Authorized official
• Dr. Mark Lynn & Associates PLLC

  • Optometrist
  • Louisville, KY
  • NPI 1568198364
  NPD Authorized official
• Tri-State Doctors of

  • Eyewear Supplier
  • Louisville, KY
  • NPI 1275617276

  Optometrist

  NPD
• Ky Doctors of Optometry, PLLC

  • Eyewear Supplier
  • Louisville, KY
  • NPI 1205919099

  Optometrist

  NPD (past)
• Ky Doctors of Optometry, PLLC

  • Eyewear Supplier
  • Lexington, KY
  • NPI 1255415410
  NPD (past)
• Ky Doctors of Optometry, PLLC

  • Eyewear Supplier
  • Elizabethtown, KY
  • NPI 1427131176

  Optometrist

  NPD (past)
• Ky Doctors of Optometry, PLLC

  • Eyewear Supplier
  • Louisville, KY
  • NPI 1689757460

  Optometrist

  NPD (past)
• Ky Doctors of Optometry, PLLC

  • Eyewear Supplier
  • Ashland, KY
  • NPI 1699086629

  Optometrist

  NPD (past)
• Mark Lynn O.D. & Associates, PC

  • Eyewear Supplier
  • Savannah, GA
  • NPI 1518375500
  NPD (past)
• Visionworks, Inc

  • Eyewear Supplier
  • Simpsonville, SC
  • NPI 1699571166
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1508937079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 ALBRECHT CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402415529",
            "telephone_number": "502-308-5966",
            "fax_number": "502-743-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 EDITH RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402062280",
            "telephone_number": "502-308-5966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 S Hurstbourne Pkwy",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402225081",
            "country_code": "US",
            "telephone_number": "502-308-5966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNN",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "KY",
            "license": "1072DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002494A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1072DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77010726",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn-Gail PLLC
• Conner Wayne Lynn
• Erin Lynn
• Haley Brooke Lynn, RBT
• Joshua Lynn
• Shannon C Lynn, MD
• Erika Lynum
• Amanda Rose Lyons, DNP, FNP-C
• Bailey Nicole Lyons, OTR/L
• Beth Lyons, LPCC

• Optometrist in Louisville, KY
• Providers in Louisville, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.