# MIRAMAR LYNN MEDICAL GROUP INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Lynn Eye Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043631419
- **Authorized official:** DR. JOEL MICHAEL CORWIN MD (PRESIDENT)
- **Authorized official phone:** (805) 648-3085

## Contact information

- **Practice address:** 2230 LYNN RD, STE 102, THOUSAND OAKS, CA 91360-1901
- **Practice address phone:** (805) 495-0458
- **Mailing address:** 3085 LOMA VISTA RD, VENTURA, CA 93003-2916
- **Mailing address phone:** (805) 648-3085
- **Mailing address fax:** (805) 584-2477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/02/2014
- **Last updated:** 01/02/2014