Stacie R Lynn, OD is a
Optometrist physician based in Chicago, Illinois. Stacie R Lynn is licensed to practice in Illinois (license number 046-009376) and her current practice location is 1515 N Milwaukee Ave, Chicago, Illinois. She can be reached at her office (for appointments etc.) via phone at
(773) 772-2424.
NPI number for Stacie R Lynn is 1639164247 and her current mailing address is 3241 S Michigan Ave, Chicago, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639164247.
Physician's Profile
Full Name | Stacie R Lynn |
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Gender | Female |
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Speciality | Optometrist |
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Location | 1515 N Milwaukee Ave, Chicago, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639164247
- Provider Enumeration Date: 09/20/2005
- Last Update Date: 05/17/2019
Medical Identifiers
Medical identifiers for Stacie R Lynn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639164247 | NPI | - | NPPES |
046009376 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | 046009376 (Illinois) | Secondary |
152W00000X | Optometrist | 046-009376 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacie R Lynn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stacie R Lynn, OD 3241 S Michigan Ave, Chicago, IL 60616-3849 Ph: (773) 772-2424 | Stacie R Lynn, OD 1515 N Milwaukee Ave, Chicago, IL 60622-8566 Ph: (773) 772-2424 |
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