Davis, Lynn Annette
Davis, Lynn Annette is an sole proprietor health care provider with primary practice located at 1721 Golf Course Rd Se , Rio Rancho NM 87124-1729. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Davis, Lynn Annette can be contacted via phone (505) 896-2010.Contact Information
Primary practice address
1721 Golf Course Rd Se
Rio Rancho NM 87124-1729
Phone: (505) 896-2010
Fax: (505) 896-2012
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2400 | New Mexico |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 2400 | New Mexico |
Profile Details
| NPI number | 1417946146 |
|---|---|
| LBN Legal business name | Davis, Lynn Annette |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 15th, 2005 |
| Last updated | Aug 9th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417946146 | NPPES |
| New Mexico | MEDICAID | P1975 |
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