Maurice Jose Lyn, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

R119TA114 Issued in AL

Practice address

638 Clanton Marketplace
Clanton, AL 35045-2246

Phone

(205) 755-3636

Fax

(205) 755-3777

NPI assigned

Apr 6, 2006

Last updated

Apr 1, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 20 20 Eyecare Inc

  • Optometrist
  • Clanton, AL
  • NPI 1093885105
  Medicare reassignment Authorized official
• Baptist Memorial Hospital - Golden Triangle Inc.

  • General Acute Care Hospital
  • Columbus, MS
  • NPI 1609830173
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238544000000",
    "number": "1801859400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 CLANTON MARKETPLACE",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350452246",
            "telephone_number": "205-755-3636",
            "fax_number": "205-755-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 CLANTON MARKETPLACE",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350452246",
            "telephone_number": "205-755-3636",
            "fax_number": "205-755-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYN",
        "first_name": "MAURICE",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2009-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R119TA114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrick Littleton, D.C.
• Lauren Moran Lovett, DPT
• Lia Farris Lovoy
• Dara S Lowery, RPT
• Bethany Baker Lyn, O.D.
• Mallard Eyecare, Inc
• Bonnie E Mallard, OD
• Leslie Brett Markham
• Donna Marsh, LPC
• Matthew J. McCain DMD, LLC

• Optometrist in Clanton, AL
• Providers in Clanton, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.