Lynn, Mark Edward

Lynn, Mark Edward is an individual health care provider with primary practice located at 801 Edith Rd , Louisville KY 40206-2280. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Lynn, Mark Edward can be contacted via phone (502) 308-5966.

Contact Information

Primary practice address
801 Edith Rd Louisville KY 40206-2280
Phone: (502) 308-5966
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Vision Therapy 152WV0400X 1072DT Kentucky
Eye and Vision Services Providers / Optometrist 152W00000X 18002494A Indiana
Eye and Vision Services Providers / Optometrist 152W00000X 1072DT Kentucky

Profile Details

NPI number 1508937079
LBN Legal business name Lynn, Mark Edward
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Apr 26th, 2023 - about 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508937079 NPPES
Kentucky MEDICAID 77010726

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