MARK LYNN OD & ASSOCIATES PC (NPI# 1639101413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639101413 |
| Entity Type | Organization |
| Organization Name | MARK LYNN OD & ASSOCIATES PC |
| Other Organization Name | VISIONWORKS |
| Practice Address |
165 Pavilion Pkwy Fayetteville GA 30214-4098 |
| Mailing Address |
Po Box 848560 Dallas TX 75284-8560 |
| Practice Telephone | 6788174875 |
| Practice Fax Number | 6788174608 |
| 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 |
| 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 |
| 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 |
165 PAVILION PKWY |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-4098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| 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 |
|---|---|---|---|---|
| 1891193611 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1598 Skibo Rd, Fayetteville, NC 28303-3478 | 2014-12-10 |
| 1235549536 | A Plus Optique | Eyewear Supplier (Equipment, not the service) | 1240 Highway 54 W Ste 306, Fayetteville, GA 30214-4563 | 2014-05-07 |
| 1902244569 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 5200 Red Tip Rd, Fayetteville, NC 28314-2884 | 2013-06-05 |
| 1871861104 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 131 Glensford Dr, Suite #105, Fayetteville, NC 28314-2361 | 2011-12-01 |
| 1528344702 | Eyemart Expess Ltd | Eyewear Supplier (Equipment, not the service) | 1598 Skibo Road, Fayetteville, NC 28303 | 2011-11-01 |
| 1720380314 | Valley Eye Clinic, Pllc | Eyewear Supplier (Equipment, not the service) | 2139 Valleygate Drive, Suite 101a, Fayetteville, NC 28304-3666 | 2010-12-02 |
| 1366624124 | George L Cooper Md | Eyewear Supplier (Equipment, not the service) | 2139 Valleygate Dr Ste 101a, Fayetteville, NC 28304-3666 | 2007-12-03 |
| 1598891137 | Eye Tech Optical Inc | Eyewear Supplier (Equipment, not the service) | 1800 N Skibo Rd, Suite 148 A, Fayetteville, NC 28303-3485 | 2007-02-26 |
| 1235202631 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 400 Cross Creek Rd, Cross Creek Mall, Fayetteville, NC 28303-7244 | 2006-11-16 |
| 1790866465 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 3081 N Hwy 112, Fayetteville, AR 72704 | 2006-10-18 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
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.