Organization Active NPI

John P Lynch Opticians Inc

  • Optician
  • Maumee, OH
National Provider Identifier
1821291378
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1623ASC Issued in OH
Legal business name
JOHN P LYNCH OPTICIANS INC
Practice address
5655 Monclova Road
Maumee, OH 43537-1835
Phone
(419) 893-3351
Fax
(419) 893-3352
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John P Lynch, LDO
Title
Dispensing Optician President
Phone
(419) 893-3351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X 1623ASC OH Primary

Addresses

Primary practice location

5655 Monclova Road
Maumee, OH 43537-1835

Mailing address

5655 Monclova Road
Maumee, OH 43537-1835
Phone (419) 893-3351

Other identifiers 2

IdentifierTypeStateIssuer
155559OtherANTHEM
10252OtherPRAMOUNT

National Provider Directory

National Provider Directory

Locations

5655 Monclova Rd
Ste 1
Maumee, OH 43537
Phone (419) 893-3351

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821291378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 MONCLOVA ROAD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371835",
            "telephone_number": "419-893-3351",
            "fax_number": "419-893-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 MONCLOVA ROAD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371835",
            "telephone_number": "419-893-3351",
            "fax_number": "419-893-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P LYNCH OPTICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DISPENSING OPTICIAN PRESIDENT",
        "authorized_official_telephone_number": "419-893-3351",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "OH",
            "license": "1623ASC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "155559",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRAMOUNT",
            "identifier": "10252",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.