Provider Demographics
NPI:1922363589
Name:OLMSTEAD, LYNDSAY LEIGH (OD)
Entity Type:Individual
Prefix:MRS
First Name:LYNDSAY
Middle Name:LEIGH
Last Name:OLMSTEAD
Suffix:
Gender:F
Credentials:OD
Other - Prefix:MS
Other - First Name:LYNDSAY
Other - Middle Name:LEIGH
Other - Last Name:TOMKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:932 SPRING STREET
Mailing Address - Street 2:UNIT 101
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770
Mailing Address - Country:US
Mailing Address - Phone:231-487-5315
Mailing Address - Fax:231-487-5316
Practice Address - Street 1:932 SPRING STREET
Practice Address - Street 2:UNIT 101
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770
Practice Address - Country:US
Practice Address - Phone:231-487-5315
Practice Address - Fax:231-487-5316
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901004701152W00000X, 152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management