Organization Active NPI

Mark Lynn OD & Associates

Doing business as Visionworks

  • Eyewear Supplier
  • Duluth, GA
National Provider Identifier
1659303436
Registry record updated Sep 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
MARK LYNN OD & ASSOCIATES
Doing business as
Visionworks
Practice address
11720 Medlock Bridge Rd
140
Duluth, GA 30097-1509
Phone
(770) 495-7898
Fax
(770) 495-7906
NPI assigned
Jul 6, 2006
Last updated
Sep 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2015

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

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

11720 Medlock Bridge Rd
140
Duluth, GA 30097-1509

Mailing address

PO Box 848560
Dallas, TX 75284-8560
Phone (210) 524-6663

Other names 1

  • Visionworks Doing business as

National Provider Directory

National Provider Directory

Locations

11720 Medlock Bridge Rd
Ste 140
Johns Creek, GA 30097
Phone (770) 495-7898

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443139200000",
    "number": "1659303436",
    "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": "11720 MEDLOCK BRIDGE RD",
            "address_2": "140",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300971509",
            "telephone_number": "770-495-7898",
            "fax_number": "770-495-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK LYNN OD & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2015-09-25",
        "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"
        }
    ]
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.