Provider Demographics
NPI:1295714103
Name:OPTOMETRY ASSOCIATES, P.A.
Entity type:Organization
Organization Name:OPTOMETRY ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:302-654-6490
Mailing Address - Street 1:419 N MARKET ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801-3002
Mailing Address - Country:US
Mailing Address - Phone:302-654-6490
Mailing Address - Fax:302-654-9527
Practice Address - Street 1:419 N MARKET ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-3002
Practice Address - Country:US
Practice Address - Phone:302-654-6490
Practice Address - Fax:302-654-9527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-10
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE1989020052152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE179503162OtherVISION SERVICE PLAN
DEDE-1169OtherVISION BENEFITS OF AMERIC
DE2218OtherCOVENTRY HEALTHCARE
DE0000148745Medicaid
DE0067233OtherAETNA US HEALTHCARE
DET26989OtherMID-ATLANTIC HEALTH PLAN
DE001311OtherBLOCK VISION INC.
DE0177330001OtherHEALTHNOW NEWYORK INCORPO
DE0628OtherGROUP VISION ASSOCIATES
DE0177330001OtherHEALTHNOW NEWYORK INCORPO
DE092=========OtherBLUE CROSS/ BLUE SHIELD
DE482443Medicare PIN