Provider Demographics
NPI:1093993040
Name:RODNEY H. LYNK, MD INC
Entity Type:Organization
Organization Name:RODNEY H. LYNK, MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:H
Authorized Official - Last Name:LYNK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-365-5965
Mailing Address - Street 1:1180 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-6306
Mailing Address - Country:US
Mailing Address - Phone:440-365-5965
Mailing Address - Fax:440-365-0117
Practice Address - Street 1:1180 E BROAD ST
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-6306
Practice Address - Country:US
Practice Address - Phone:440-365-5965
Practice Address - Fax:440-365-0117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAL1003881207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0431661Medicaid
OH0892822Medicare PIN
OH0431661Medicaid