Provider Demographics
NPI:1376241885
Name:HORNSBY, LYNNETTE (OPTICIAN)
Entity Type:Individual
Prefix:MS
First Name:LYNNETTE
Middle Name:
Last Name:HORNSBY
Suffix:
Gender:F
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 N SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:SMITHVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44677-9700
Mailing Address - Country:US
Mailing Address - Phone:330-201-2881
Mailing Address - Fax:
Practice Address - Street 1:3883 BURBANK RD
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-7220
Practice Address - Country:US
Practice Address - Phone:330-345-8641
Practice Address - Fax:330-345-8331
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOP.006020-S156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician