Organization Name: | MARK LYNN OD & ASSOCIATES PC |
NPI Number: | 1982844361 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK LYNN (OWNER) |
Mailing Address: | 1810 Cumming Hwy Space F-1010 Canton |
State: | GA US |
Postal Code: | 301149386 |
Phone Number: | 7707049666 |
Fax Number: | 7707047488 |
NPI Enumeration Date: | 02/25/2009 |
NPI Last Update Date: | 01/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |