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Contact Information

LYNNES MOC LLC
512 STATE STREET
MADISON, WI53703
 Phone: 608-251-2020
 Fax: 608-251-5966
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for LYNNES MOC LLC

NPI # 1689291254
LBN Legal business name LYNNES MOC LLC
Authorized official LYNNE DERRA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/30/2020
Last updated 04/03/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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