Mark Lynn OD & Associates PC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

MARK LYNN OD & ASSOCIATES PC

Practice address

4153 La Vista
Suite C
Tucker, GA 30084-5344

Phone

(770) 939-8828

Fax

(770) 939-3966

NPI assigned

Jul 6, 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, OD

Title

Owner

Phone

(812) 285-5050

Specialties & licenses 1

Addresses

Other names 1

• Visionworks Doing business as

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1619909470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848560",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752848560",
            "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": "4153 LA VISTA",
            "address_2": "SUITE C",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845344",
            "telephone_number": "770-939-8828",
            "fax_number": "770-939-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK LYNN OD & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2015-10-27",
        "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": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionworks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bessie A Manohar, M.D.
• Mandana Manouchehri, PHARMD
• Mashail Manzur
• Joel Edward Margolies, DC
• Danice B. Mariney, RN IBCLC
• Lisa A Marquardt, PAC
• Joseph Louis Marrocco, RPH
• Robert W Marsh, D.O.
• Bessie Martin-Jackson
• Katelyn Martin

• Eyewear Supplier in Tucker, GA
• Providers in Tucker, GA by specialty
• Eyewear Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.