Provider Demographics
NPI:1851310858
Name:CYERT, LYNN (OD)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:
Last Name:CYERT
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24295 HIGHWAY 82
Mailing Address - Street 2:BLDG 2
Mailing Address - City:PARK HILL
Mailing Address - State:OK
Mailing Address - Zip Code:74451-4012
Mailing Address - Country:US
Mailing Address - Phone:918-207-0700
Mailing Address - Fax:918-207-0701
Practice Address - Street 1:24295 HIGHWAY 82
Practice Address - Street 2:BLDG 2
Practice Address - City:PARK HILL
Practice Address - State:OK
Practice Address - Zip Code:74451-4012
Practice Address - Country:US
Practice Address - Phone:918-207-0700
Practice Address - Fax:918-207-0701
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK993152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKOKA100761OtherMEDICARE PTAN
OK100760000BMedicaid
OKOKA100761OtherMEDICARE PTAN
OK100760000BMedicaid