MARK LYNN OD & ASSOCIATES PC (NPI# 1023040805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023040805 |
| Entity Type | Organization |
| Organization Name | MARK LYNN OD & ASSOCIATES PC |
| Other Organization Name | VISIONWORKS |
| Practice Address |
1550 Arbor Place Mall Douglasville GA 30135-7108 |
| Mailing Address |
Po Box 848560 Dallas TX 75284-8560 |
| Practice Telephone | 7708521002 |
| Practice Fax Number | 7709479893 |
| Mailing Telephone | 2105246663 |
| Mailing Fax Number | 2105246587 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2013-01-08 |
| Authorized Official Name | MARK LYNN (OWNER) |
| Authorized Official Telephone | 8122855050 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Visionworks | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952566234 | Mark Lynn Od & Associates PC | Eyewear Supplier (Equipment, not the service) | 3360 Shelby Ln, Ste. 1010, East Point, GA 30344-5744 | 2008-07-25 |
| 1174796726 | Mark Lynn Od & Associates PC | Eyewear Supplier (Equipment, not the service) | 324 Newnan Crossing Byp, Newnan, GA 30265-1082 | 2008-04-03 |
| 1619909470 | Mark Lynn Od & Associates PC | Eyewear Supplier (Equipment, not the service) | 4153 La Vista, Suite C, Tucker, GA 30084-5344 | 2006-07-06 |
| 1427080209 | Mark Lynn Od & Associates PC | Eyewear Supplier (Equipment, not the service) | 1000 N Point Cir, Sp 1014, Alpharetta, GA 30022-4853 | 2006-07-06 |
| 1639101413 | Mark Lynn Od & Associates PC | Eyewear Supplier (Equipment, not the service) | 165 Pavilion Pkwy, Fayetteville, GA 30214-4098 | 2006-07-06 |
| 1902838725 | Mark Lynn Od & Associates PC | Eyewear Supplier (Equipment, not the service) | 1905 Scenic Hwy N, 1130, Snellville, GA 30078-5633 | 2006-07-06 |
| 1174555940 | Mark Lynn Od & Associates PC | Eyewear Supplier (Equipment, not the service) | 2402 Southlake Mall, Morrow, GA 30260-2334 | 2006-07-06 |
| 1730111501 | Mark Lynn Od & Associates PC | Eyewear Supplier (Equipment, not the service) | 1245 Cumberland Mall, Atlanta, GA 30339-3136 | 2006-07-06 |
| 1144252917 | Mark Lynn Od & Associates PC | Eyewear Supplier (Equipment, not the service) | 2131 Pleasant Hill Rd Ste 152, Duluth, GA 30096 | 2006-07-06 |
| 1750318168 | Mark Lynn Od & Associates PC | Eyewear Supplier (Equipment, not the service) | 2929 Turner Hill Rd, Sp 2625, Lithonia, GA 30038-2500 | 2006-06-28 |
| Street Address |
1550 ARBOR PLACE MALL |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30135-7108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003171349 | Neville Kersi Dalal | Optometrist | 1550 Arbor Place Mall, Douglasville, GA 30135-7108 | 2012-07-12 |
| 1487938866 | Mastoureh Ahmadpour | Optometrist | 1550 Arbor Place Mall, Douglasville, GA 30135-7108 | 2011-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043301 | Heart & Soul Wellness Solutions LLC | Social Worker | 4752 Pepper Tree Lane, Douglasville, GA 30135 | 2020-08-12 |
| 1477176923 | R & J Health Care | Clinic/Center | 6853b Douglas Blvd Ste B, Douglasville, GA 30135 | 2020-05-19 |
| 1003479411 | The Sister Circle of Love and Empowerment LLC | Clinic/Center | 4706 Boyer Glen Dr., Douglasville, GA 30135 | 2019-04-22 |
| 1457825358 | Marcia Ann-marie Wilson | Nurse Practitioner | 4279 Caroline Court, Douglasville, GA 30135 | 2019-01-14 |
| 1225564917 | Danielle Doebereiner-brown | Nurse Practitioner | 3872 Ga-5, Douglasville, GA 30135 | 2017-05-02 |
| 1851832430 | Jennifer Williams | Physical Therapist | 4999 Presley Mill Rd, Douglasville, GA 30135 | 2017-03-15 |
| 1316484686 | Geneva Brent | Licensed Practical Nurse | 2109 Fairburn Road, Douglasville, GA 30135 | 2017-01-25 |
| 1659816288 | Stephanie Walthour | Marriage & Family Therapist | 3400 Chapel Hill Rd Ste 317, Douglasville, GA 30135 | 2017-01-05 |
| 1770932105 | Solutions 2 Wellness and Recovery,llc | Social Worker | 2256 Greenwood Meadows Lane, Douglasville, GA 30135 | 2016-06-07 |
| 1326408378 | Sr & L Transport Services, LLC | Non-emergency Medical Transport (VAN) | 4841 Black Bear Trail, Douglasville, GA 30135 | 2016-03-03 |
| Find all providers in zip 30135 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063569515 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1270 Arbor Place Mall, Douglasville, GA 30135 | 2007-01-05 |
| 1437229564 | New Vision Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3417 Highway 5 Ste B, Douglasville, GA 30135-2378 | 2006-11-08 |
| 1578637914 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 6580 Douglas Blvd, Douglasville, GA 30135-1507 | 2006-11-18 |
| 1902870751 | Douglasville Eye Clinic PC | Eyewear Supplier (Equipment, not the service) | 6001 Professional Pkwy, Suite 2040, Douglasville, GA 30134-5632 | 2006-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021234 | Bianca Horton Holmes | Eyewear Supplier (Equipment, not the service) | 1085 Buckingham Ter, Fairburn, GA 30213-6481 | 2020-10-20 |
| 1649887886 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 331 Newnan Crossing Byp, Newnan, GA 30265-1067 | 2020-09-30 |
| 1407461700 | United Vision Plans Inc | Eyewear Supplier (Equipment, not the service) | 669 Longwood Dr Nw, Atlanta, GA 30305-3903 | 2020-09-14 |
| 1518513613 | Hendrix Eye Clinic, LLC | Eyewear Supplier (Equipment, not the service) | 864 Central Ave, Demorest, GA 30535-5534 | 2019-08-14 |
| 1093375503 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 40 Fischer Crossings Dr, Sharpsburg, GA 30277 | 2019-06-17 |
| 1255814893 | For Eyes Optical Co. of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 5130 Peachtree Pkwy Ste 630, Peachtree Corners, GA 30092-2525 | 2018-09-10 |
| 1578079869 | Professional Eye Associates, Inc. | Eyewear Supplier (Equipment, not the service) | 113 West Pine Street, Chatsworth, GA 30705 | 2017-12-21 |
| 1538686894 | Jand Inc. | Eyewear Supplier (Equipment, not the service) | 274 Buckhead Ave Ne, Atlanta, GA 30305-2208 | 2017-08-28 |
| 1619494978 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1198 Howell Mill Rd Nw Ste 300, Atlanta, GA 30318-5626 | 2017-08-28 |
| 1508317587 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 8000 Mall Pkwy, Lithonia, GA 30038-2542 | 2016-10-14 |
| Find all providers with the same taxonomy | ||||
| City | DOUGLASVILLE |
| Zip Code | 30135 |
Please comment or provide details below to improve the information on MARK LYNN OD & ASSOCIATES PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.