Lynnes Moc LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

LYNNES MOC LLC

Doing business as

Madison Optometric Center

Practice address

512 State Street
Madison, WI 53703

Phone

(608) 251-2020

Fax

(608) 251-5966

NPI assigned

Jun 30, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Lynne G. Derra

Title

Owner

Phone

(608) 251-2020

Specialties & licenses 1

Addresses

Other names 1

• Madison Optometric Center Doing business as

Locations

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1689291254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 W WASHINGTON AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537032638",
            "telephone_number": "608-251-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 STATE STREET",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53703",
            "telephone_number": "608-251-2020",
            "fax_number": "608-251-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNNES MOC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "DERRA",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-251-2020",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Madison Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Lyght, PA-C
• Cassandra Lynn Lyles, PMHNP
• Bethany Lynch, MSN
• Karmen Lynch, RN
• Julie Malone Lyne, PT
• Jane B Lyon, MD
• Cheryl Lynn Lyons, CSAC , ICS
• Jeffrey Charles Lyons, CRNP
• Kathryn Marie Lyons, PT
• Kaylyn Utley Lyons, MB BCH

• Optometrist in Madison, WI
• Providers in Madison, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.