Organization
LYNNES MOC LLC
Active
Other names
Madison Optometric Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNNE G. DERRA (OWNER)
(608) 251-2020
Entity
Organization
Contact information
Practice address
512 STATE STREET, MADISON, WI 53703
(608) 251-2020
(608) 251-5966
Mailing address
658 W WASHINGTON AVE, MADISON, WI 53703-2638
(608) 251-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/30/2020
Last updated
04/03/2025
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