Active NPI
Lynn E Perkins Glancy, OPTICIAN NCLC
- Contact Lens Fitter
- Phy, AZ
National Provider Identifier
1891963203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contact Lens Fitter
- License
- 613
- Practice address
- 300 E Osborn
Phy, AZ 85012 - Phone
- (602) 277-3152
- Fax
- (602) 234-1552
- NPI assigned
- Feb 19, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contact Lens Fitter | 156FC0801X | 613 | AZ | Primary |
Addresses
Primary practice location
300 E Osborn
Phy, AZ 85012
Mailing address
300 E Osborn
Suite 201
Phoenix, AZ 85012
Phone (602) 277-3152
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25104 | Other | AZ | AVESIS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 613 | AZ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203379200000",
"number": "1891963203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E OSBORN",
"address_2": "SUITE 201",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85012",
"telephone_number": "602-277-3152",
"fax_number": "602-234-1552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E OSBORN",
"city": "PHY",
"state": "AZ",
"postal_code": "85012",
"telephone_number": "602-277-3152",
"fax_number": "602-234-1552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS GLANCY",
"first_name": "LYNN",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "OPTICIAN NCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-19",
"last_updated": "2008-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "156FC0801X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens Fitter",
"state": "AZ",
"license": "613",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVESIS",
"identifier": "25104",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.