Jennifer Lynne Lyman, LDO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

001679 Issued in CT

Practice address

146 Hazard Ave Ste 201
Enfield, CT 06082-4566

Phone

(860) 749-5488

Fax

(860) 763-3856

NPI assigned

Jul 29, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1740916956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 HAZARD AVE STE 201",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824566",
            "telephone_number": "860-749-5488",
            "fax_number": "860-763-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 HAZARD AVE STE 201",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824566",
            "telephone_number": "860-749-5488",
            "fax_number": "860-763-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYMAN",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "LDO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "001679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Optical@northcteye.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "146 Hazard Ave Ste 201",
            "city": "Enfield",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060824566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly Ann Lucey, MD
• Michael R. Lund, PHYSICIAN ASSISTANT
• Liane Lussier-Smith
• Luxottica of America Inc.
• Luxottica Retail North America Inc
• Robert James Macdonald, M.D.
• Timothy Machon, MD
• Tracy Maclachlan, LMT
• Adam Nathaniel Majka, DPT
• Ahmad Majzoub, DMD

• Optician in Enfield, CT
• Providers in Enfield, CT by specialty
• Optician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.