Organization Active NPI

Mark Lynn OD & Associates PC

  • Eyewear Supplier
  • Atlanta, GA
National Provider Identifier
1730111501
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
MARK LYNN OD & ASSOCIATES PC
Practice address
1245 Cumberland Mall
Atlanta, GA 30339-3136
Phone
(770) 434-0440
Fax
(770) 434-5460
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

1245 Cumberland Mall
Atlanta, GA 30339-3136

Mailing address

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

Other names 1

  • Doctor's Visionworks Doing business as

National Provider Directory

National Provider Directory

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": "1245715200000",
    "number": "1730111501",
    "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": "1245 CUMBERLAND MALL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393136",
            "telephone_number": "770-434-0440",
            "fax_number": "770-434-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK LYNN OD & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2009-06-23",
        "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": "Doctor's Visionworks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.