Mallory Nicole Lynch, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7569T Issued in TX

Practice address

500 Canyon Ridge Dr Ste L300
Austin, TX 78753-1650

Phone

(512) 837-3200

NPI assigned

Jul 15, 2010

Last updated

Mar 12, 2019By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mallory Lynch, OD, PLLC

  dba Tech Ridge Vision

  • Optometrist
  • Austin, TX
  • NPI 1851870190
  Medicare reassignment NPD Authorized official
• Aeg Texas Professional PLLC

  • Optometrist
  • Kerrville, TX
  • NPI 1457905937
  NPD
• Eyedentity Vision Optometry, Inc.

  dba Eyedentity Vision Optometry

  • Clinic/Center
  • San Francisco, CA
  • NPI 1255514642
  NPD (past)
• Optometry Eyecareeyewear Com Inc

  • Optometrist
  • South San Francisco, CA
  • NPI 1720415979
  NPD (past)

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1558674846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CANYON RIDGE DR STE L300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787531650",
            "telephone_number": "512-837-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CANYON RIDGE DR STE L300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787531650",
            "telephone_number": "512-837-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Gateway Blvd",
            "address_2": "#220",
            "address_purpose": "LOCATION",
            "city": "South San Francisco",
            "state": "CA",
            "postal_code": "940807006",
            "country_code": "US",
            "telephone_number": "650-871-9200",
            "fax_number": "650-551-9111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "MALLORY",
        "middle_name": "NICOLE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14353TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7569T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin J Lyles
• Bernard A. Lynch, M.D.
• Brian Lynch
• Brigid Lynch
• Kathleen Lynch, P.T.
• Peggy F Lynch, LPC LCDC
• Lynn Jackson, PT, PC
• Beth Foy Lynn, CNS
• Cynthia Jene Lynn, M.D.
• Mark B Lynn, LCSW

• Optometrist in Austin, TX
• Providers in Austin, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.