Dr. Mark Lynn & Associates PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR. MARK LYNN & ASSOCIATES PLLC

Doing business as

Lynn Family Sports Vision & Training

Practice address

801 Edith Rd
Louisville, KY 40206-2280

Phone

(502) 308-5966

NPI assigned

Jul 26, 2022

Last updated

Jul 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark LynnNPI 1508937079

Title

Coo

Phone

(502) 500-4305

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lynn Family Sports Vision & Training Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Edward Lynn, OD

  • Optometrist
  • Louisville, KY
  • NPI 1508937079
  NPD Authorized official

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1568198364",
    "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": "502-500-4305"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "DR. MARK LYNN & ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "502-500-4305"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77010726",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.lynnfamilysportsvisionandtraining.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "webpage",
            "address_1": "801 Edith Rd",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402062280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lynn Family Sports Vision & Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Jul 26, 2022; 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.