Individual provider Active NPI

Lynn Allyson Meyer, O.D.

  • Optometrist
  • Gary, IN
National Provider Identifier
1942225032
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003157 Issued in IN
Practice address
701 W 5TH Ave
Gary, IN 46402-1807
Phone
(219) 881-0655
NPI assigned
Jul 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003157 IN Primary
Optometrist 152W00000X IL

Addresses

Primary practice location

701 W 5TH Ave
Gary, IN 46402-1807

Mailing address

3604 N Greenview Ave
Apt 1
Chicago, IL 60613-3608
Phone (773) 640-6266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040817000060 IL Practitioner - Optometry 4587637707 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-009616ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Silvia M Pelini PC Optometrist CurrentSince May 11, 2018 Accepting new patients
Robert W Moses O.D. Professional Corporation Optometrist Past Accepting new patients
Robert W Moses OD Professional Corp. Past Accepting new patients
Dominion Eye Care, P.C. Past Accepting new patients
Robert W Moses OD Professional Corp. Past Accepting new patients

Locations

328 S Michigan Ave
Chicago, IL 60604
Phone (312) 427-6720

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942225032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 N GREENVIEW AVE",
            "address_2": "APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133608",
            "telephone_number": "773-640-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W 5TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464021807",
            "telephone_number": "219-881-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "LYNN",
        "middle_name": "ALLYSON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003157",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

Verify at the official NPI Registry.