Active NPIOrganization

Lyn Desjardins Optometry LLC

Optometrist in Gloucester, Massachusetts

NPI Number1578823829
Practice location
127 Eastern Ave, Gloucester, MA 01930-1802
Fax
978-281-5584
Last updated
May 21, 2012

Lyn Desjardins Optometry LLC is a healthcare organization based in Gloucester, MA. Lyn Desjardins Optometry LLC practices in Gloucester, MA. The NPI Number for Lyn Desjardins Optometry LLC is 1578823829 and holds a License No. 4853 (MA). The current practice location address for Lyn Desjardins Optometry LLC is 127 Eastern Ave, Gloucester, MA 01930-1802 and can be reached out via phone at 978-283-0650 and via fax at 978-281-5584.

Provider Profile Details

NPI Number
1578823829
Provider Name
Lyn Desjardins Optometry LLC
Provider Entity Type
Organization
Address
127 Eastern Ave, Gloucester, MA 01930-1802
Phone Number
978-283-0650
Fax Number
978-281-5584
Primary Taxonomy
Optometrist · 152W00000X
Organization Subpart
No
Authorized Official
Lyn A Desjardins, OD · Owner/Manager · 978-283-0650
Provider Enumeration Date
May 21, 2012
Last Update Date
May 21, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
127 Eastern Ave
Gloucester, MA 01930-1802
Zip
01930-1802
Phone Number
978-283-0650
Fax Number
978-281-5584
Gloucester, MA 01930Get directions →

Provider Business Mailing Address Details

Address
127 Eastern Ave
Gloucester, MA 01930-1802
City
Gloucester
State
MA
Zip
01930-1802
Phone Number
978-283-0650
Fax Number
978-281-5584

License Information

License Number
4853
License State
MA
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lyn Desjardins Optometry LLC?

The NPI number of Lyn Desjardins Optometry LLC is 1578823829. It was assigned on May 21, 2012 and is currently active in the NPPES registry.

What is the specialty of Lyn Desjardins Optometry LLC?

Lyn Desjardins Optometry LLC is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 4853.

Where does Lyn Desjardins Optometry LLC practice?

The practice location is 127 Eastern Ave, Gloucester, MA 01930-1802. The office can be reached at 978-283-0650 (phone) or 978-281-5584 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578823829 directly on the NPPES registry website.

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