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LYNN M GILL NPI 1811266190


NPI Information

NPI: 1811266190
Provider Name: LYNN M GILL

Other Name: L M GILL O D

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
5284 HIGHWAY 49 NORTH
SUITE 1
MARIPOSA, CA
ZIP 95338
Phone: (209) 966-3684
Get Directions

LYNN M GILL is an eyewear supplier in Mariposa, CA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. LYNN M GILL NPI is 1811266190. The provider is registered as an organization entity type.
The provider Other Name Is L M Gill O D.

The provider's business location address is:

5284 HIGHWAY 49 NORTH
SUITE 1
MARIPOSA, CA
ZIP 95338-501
Phone: (209) 966-3684
Fax: (209) 966-3601

The provider's authorized official is Lynn Matthew Gill .
The authorized official title is Owner and has the following contact phone number (209) 966-3684.

The enumeration date for this NPI number is 12/15/2011 and was last updated on 4/12/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear Supplier152W00000XCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1T09876MEDICARE UPINCALIFORNIA
2SD0051250MEDICAIDCALIFORNIA
30666060001MEDICARE NSCCALIFORNIA
4SD0051250MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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