Lynch Development, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T02646 Issued in MO

Legal business name

LYNCH DEVELOPMENT, P.C.

Practice address

402 W Washington St
Cuba, MO 65453-1217

Phone

(573) 885-2323

Fax

(573) 885-2643

NPI assigned

Jun 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William Albert Lynch Jr., OD

Title

President

Phone

(573) 885-2323

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Crawford County Eye Care Doing business as

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paige Blankenheim, OD

  • Optometrist
  • O Fallon, MO
  • NPI 1386361319
  NPD (past)
• Ryan Dement, OD

  • Optometrist
  • Saint Peters, MO
  • NPI 1073297750
  NPD (past)
• Lisa Marie Mackey, OD

  • Optometrist
  • O Fallon, MO
  • NPI 1982693297
  NPD (past)
• Jonah Michael Pfeiffer, OD

  • Optometrist
  • Saint Clair, MO
  • NPI 1649840059
  NPD (past)
• Emma M Schafers-Karl, O.D.

  • Optometrist
  • O Fallon, MO
  • NPI 1558389270
  NPD (past)

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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQHEALTH CARE",
            "identifier": "10852950",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "22-00550",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "101125",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318275906",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crawford County Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holly Jean Kreienkamp
• Jamie L Kuenzie, OTR/L
• Kaitlyn Laboube, PHARM. D.
• Bridgette Little, PLPC
• Hollie Lovell, PHARMD
• William Albert Lynch Jr., OD
• Jamie Mabe, PHARMD.
• Anita McCormack, LCSW
• Medley Pharmacy
• Medley Pharmacy Inc

• All providers in Cuba, MO
• Optometrist in Missouri

• 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.