MARK LYNN OD & ASSOCIATES PC (NPI# 1174555940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174555940 |
Entity Type | Organization |
Organization Name | MARK LYNN OD & ASSOCIATES PC |
Other Organization Name | VISIONWORKS |
Practice Address |
2402 Southlake Mall Morrow GA 30260-2334 |
Mailing Address |
Po Box 848560 Dallas TX 75284-8560 |
Practice Telephone | 7709611001 |
Practice Fax Number | 7709614073 |
Mailing Telephone | 2105246663 |
Mailing Fax Number | 2105246587 |
Enumeration Date | 2006-07-06 |
Last Update Date | 2013-01-04 |
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 |
1730111501 | Mark Lynn Od & Associates PC | Eyewear Supplier (Equipment, not the service) | 1245 Cumberland Mall, Atlanta, GA 30339-3136 | 2006-07-06 |
1023040805 | Mark Lynn Od & Associates PC | Eyewear Supplier (Equipment, not the service) | 1550 Arbor Place Mall, Douglasville, GA 30135-7108 | 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 |
2402 SOUTHLAKE MALL |
City | MORROW |
State | GA |
Zip Code | 30260-2334 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861795411 | Colay Anquanette White | Optometrist | 2402 Southlake Mall, Morrow, GA 30260-2334 | 2010-12-20 |
1780990234 | Matthew Ryan Duncan | Optometrist | 2402 Southlake Mall, Morrow, GA 30260-2334 | 2010-08-22 |
1740466309 | Nooshin Yazdanpanah | Optometrist | 2402 Southlake Mall, Morrow, GA 30260-2334 | 2008-01-14 |
1255351672 | Andre Whitehead | Optometrist | 2402 Southlake Mall, Morrow, GA 30260-2334 | 2006-07-20 |
1558396598 | Nita Thakor | Optometrist | 2402 Southlake Mall, Morrow, GA 30260-2334 | 2006-07-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538766605 | C. Alexander Pediatrics LLC | Emergency Medicine | 2180 Rex Road, Morrow, GA 30260 | 2020-10-02 |
1578127627 | Osara Dhevmi Malalasekara | Student in an Organized Health Care Education/Training Program | Amc Family Medicine Residency Program, 1000 Corporate Center Dr Suite 200, Morrow, GA 30260 | 2019-04-24 |
1902360860 | Katrina Samuels | Technician | 5771 Trammell Rd. Morrow Ga, Morrow, GA 30260 | 2019-01-24 |
1679067870 | Atl Sport | Community/Behavioral Health | 5376 Jonesboro Rd, Lake City, GA 30260 | 2018-06-20 |
1487184099 | Mamie Rochell Jinks | Driver | 1541 Lakeland Cir, Lake City, GA 30260 | 2017-06-15 |
1598202079 | Grace Misi Nteff | Nurse Practitioner | 1000 Clayton Village, Clayton State University, School of Nursing Community, Morrow, GA 30260 | 2017-01-23 |
1902357908 | Morrow Family Dentistry, P.C. | Clinic/Center | 6319a Jonesboro Road, Morrow, GA 30260 | 2016-10-14 |
1043679418 | Elite Rehab and Weightloss | Chiropractor | 1568 Southlake Pkwy Ste C, Morrow, GA 30260 | 2016-02-15 |
1659758985 | Clayton State University | Nurse Practitioner | 5809 Northlake Drive, Bldg 1000, Morrow, GA 30260 | 2015-05-06 |
1255731519 | Care First Private Home Care | In Home Supportive Care | 2380 Fairfield Court, Morrow, GA 30260 | 2014-08-23 |
Find all providers in zip 30260 |
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 |
---|---|---|---|---|
1881754737 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1363 Mount Zion Rd, Morrow, GA 30260-2357 | 2006-12-11 |
1649355744 | For Eyes Optical Co. of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 1297 Mount Zion Rd, Morrow, GA 30260-2339 | 2006-10-26 |
1417962986 | Us Vision Optical Inc | Eyewear Supplier (Equipment, not the service) | 1500 Southlake Mall, Morrow, GA 30260-2330 | 2006-07-30 |
1821029356 | America's Best Contacts & Eyeglasses | Eyewear Supplier (Equipment, not the service) | 1395 Southlake Pkwy, Uptown At S. Lake S.c., Morrow, GA 30260-2337 | 2006-07-05 |
1649226416 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 6065 Jonesboro Rd, Morrow, GA 30260-1106 | 2006-05-25 |
1407307648 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 1500 Southlake Mall, Morrow, GA 30260-2330 | 2016-10-24 |
1649306713 | For Eyes Optical Co of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 1297 Mount Zion Rd, Morrow, GA 30260-2339 | 2007-02-26 |
1083785356 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1281 Southlake Cir, Morrow, GA 30260-2352 | 2006-11-10 |
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 |
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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.