Provider Demographics
NPI:1720391154
Name:LYNN, JEFFREY D (OD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:D
Last Name:LYNN
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:650 CEDAR CREEK GRADE
Mailing Address - Street 2:SUITE #114
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-6452
Mailing Address - Country:US
Mailing Address - Phone:540-662-0222
Mailing Address - Fax:540-662-9365
Practice Address - Street 1:650 CEDAR CREEK GRADE
Practice Address - Street 2:SUITE #114
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-6452
Practice Address - Country:US
Practice Address - Phone:540-662-0222
Practice Address - Fax:540-662-9365
Is Sole Proprietor?:No
Enumeration Date:2010-07-14
Last Update Date:2013-10-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0618002087152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist