Organization Active NPI

Lynch Development, P.C.

Doing business as Crawford County Eye Care

  • Optometrist
  • Cuba, MO
National Provider Identifier
1881630366
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T02646 Issued in MO
Legal business name
LYNCH DEVELOPMENT, P.C.
Doing business as
Crawford County Eye Care
Practice address
402 W Washington St
Cuba, MO 65453-1217
Phone
(573) 885-2323
Fax
(573) 885-2643
NPI assigned
Jun 21, 2006
Last updated
Apr 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Authorized official

Name
Dr. William Albert Lynch Jr., ODNPI 1972531176
Title
President
Phone
(573) 885-2323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T02646 MO Primary

Addresses

Primary practice location

402 W Washington St
Cuba, MO 65453-1217

Mailing address

402 W Washington St
Cuba, MO 65453-1217
Phone (573) 885-2323

Other identifiers 4

IdentifierTypeStateIssuer
101125OtherMOBLUE CROSS BLUE SHIELD
10852950OtherMOCAQHEALTH CARE
318275906MedicaidMO
22-00550OtherMOUNITED HEALTH CARE

Other names 1

  • Crawford County Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

402 W Washington St
Cuba, MO 65453
Phone (573) 885-2323

205 State Route B
Ste 5
Saint James, MO 65559
Phone (573) 265-2020

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1881630366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W WASHINGTON ST",
            "city": "CUBA",
            "state": "MO",
            "postal_code": "654531217",
            "telephone_number": "573-885-2323",
            "fax_number": "573-885-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W WASHINGTON ST",
            "city": "CUBA",
            "state": "MO",
            "postal_code": "654531217",
            "telephone_number": "573-885-2323",
            "fax_number": "573-885-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNCH DEVELOPMENT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-885-2323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "101125",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQHEALTH CARE",
            "identifier": "10852950",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318275906",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "22-00550",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crawford County Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cuba, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.