William Albert Lynch Jr., OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

T02646 Issued in MO

Practice address

402 W Washington St
Cuba, MO 65453-1217

Phone

(573) 885-2323

Fax

(573) 885-2643

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regional Eyecare Associates IncGroup PAC ID 2961443395, 15 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Regional Eyecare Associates Inc

  • Optometrist
  • O Fallon, MO
  • NPI 1043380652
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1972531176",
    "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": {
        "last_name": "LYNCH",
        "first_name": "WILLIAM",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "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": "UNITED HEALTH CARE",
            "identifier": "22-00550",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318275906",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUN. AFFORD. QUAL. HE CA",
            "identifier": "10852950",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie L Kuenzie, OTR/L
• Kaitlyn Laboube, PHARM. D.
• Bridgette Little, PLPC
• Hollie Lovell, PHARMD
• Lynch Development, P.C.
• Jamie Mabe, PHARMD.
• Anita McCormack, LCSW
• Medley Pharmacy
• Medley Pharmacy Inc
• Mercy Clinic East Communities

• Optometrist in Cuba, MO
• Providers in Cuba, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.