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DR. LYNN C HEALEY OD
>> Optometrist >> Eye and Vision Services ProvidersRegistrant NPI Number: 1588741995
Individual Registrant:DR. LYNN C HEALEY OD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
12255 FAIR LAKES PARKWAY KAISER PERMANENTE FAIRFAX, VA 22033 US
Tel: 703-934-5820 Fax: --
Tel: 703-934-5820 Fax: --
Contact information for business:
2101 EAST JEFFERSON STREET PPQA MEDICARE COMPLIANCE UNIT 6 W ATTN THERESA BROOKS ROCKVILLE, MD 20852-4908 US
Tel: 301-816-6660 Fax: 301-816-6308
Tel: 301-816-6660 Fax: 301-816-6308
Registration Information:
NPI: 1588741995
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 152W00000X | Eye and Vision Services Providers Optometrist | PA | OET8944 |
| Y | 152W00000X | Eye and Vision Services Providers Optometrist | VA | 0618000292 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
