Stacie R Lynn is a Philadelphia, Pennsylvania based female Optometrist who is specialized in Optometry. Active license number of Stacie R Lynn is OEG002050 for Optometry in Pennsylvania. Stacie R Lynn 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. She completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Stacie R Lynn speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Gender:
Female
Practice Address:
9863 Busleton Ave, Ste A, Philadelphia, Pennsylvania, 19115
Phone:
215-969-1100
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
NPI Number:
1639164247
NPI Enumeration Date:
20 Sep, 2005
NPI Last Update On:
19 Mar, 2025
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacie R Lynn are as mentioned below.
License Number
Specialization
State
Status
OEG002050
Optometry
Pennsylvania
Primary
046009376
Ophthalmology
Illinois
Secondary
046-009376
Optometry
Illinois
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Stacie R Lynn such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
046009376
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1425 Sloan Way, Ambler, Pennsylvania
Zip:
19002-1205
Phone Number:
773-531-5568
Fax Number:
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Patients can reach Stacie R Lynn at 9863 Busleton Ave, Ste A, Philadelphia, Pennsylvania or can call to book an appointment on 215-969-1100. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.
Comments/ Reviews:
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