National Provider Identifier Database

STACIE R LYNN, OD – NPI #1639164247
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

STACIE R LYNN, OD
9863 BUSLETON AVE
STE A
PHILADELPHIA, PA19115
Phone: 215-969-1100
Fax:
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Ophthalmology 207W00000X

* Indicates primary specialty

NPI Profile & details for STACIE R LYNN

NPI Number 1639164247
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 09/20/2005
Last updated 03/19/2025 - More than a year ago
Sole proprietor1 No
Identifiers
  • IL License #: 046-009376
  • IL License #: 046009376
  • PA License #: OEG002050
  • IL Medicaid: 046009376
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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