Lindsey Wynkoop, LINDSEY WYNKOOP, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004564 Issued in MI

Practice address

1116 W Ganson St
Jackson, MI 49202-4240

Phone

(877) 852-8463

NPI assigned

Sep 1, 2010

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

Medicare fee-for-service enrollment

Enrolled in MI, HI2 enrollments

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 2

Specialty

Optometry

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gaylord Eye Care Center IncGroup PAC ID 0749310720, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Gaylord Eye Care Center Inc

  • Optometrist
  • Gaylord, MI
  • NPI 1306827837
  Medicare reassignment Care Compare group NPD
• Aloha Eye Clinic, LTD.

  • Ophthalmology Physician
  • Wailuku, HI
  • NPI 1447298344

  Optometrist

  Medicare reassignment NPD
• Aloha Eye Clinic Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Wailuku, HI
  • NPI 1669868600
  NPD
• Aloha Eye Clinic, LTD.

  • Ophthalmology Physician
  • Kihei, HI
  • NPI 1740065325

  Optometrist

  NPD
• Gary J. Mellon ,O.D.,P.C.

  • Eyewear Supplier
  • Boyne City, MI
  • NPI 1609045921

  Optometrist

  NPD (past)
• Mid Michigan Eye Care Center, PC

  • Ophthalmology Physician
  • Jackson, MI
  • NPI 1649275041

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1811204571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 W GANSON ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492024240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 W GANSON ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492024240",
            "telephone_number": "877-852-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNKOOP",
        "first_name": "LINDSEY",
        "credential": "LINDSEY WYNKOOP, O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wyatt and Pound Family Dentistry, P.L.C.
• John C Wyatt, D.D.S.
• Nigel Wyckoff
• Linsay Wykoff, LPC
• Timothy Wyllis
• Malina Xiong, AUD
• Lin Xu, FNP-BC
• Christopher Anthony Yacobucci, DO
• Hollyanne Yager
• Rafil R Yakupov, MD

• Optometrist in Jackson, MI
• Providers in Jackson, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.