Organization
LYNCH DEVELOPMENT, P.C.
Active
Other names
Crawford County Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ALBERT LYNCH JR. OD (PRESIDENT)
(573) 885-2323
Entity
Organization
Contact information
Practice address
402 W WASHINGTON ST, CUBA, MO 65453-1217
(573) 885-2323
(573) 885-2643
Mailing address
402 W WASHINGTON ST, CUBA, MO 65453-1217
(573) 885-2323
(573) 885-2643
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02646
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101125
BLUE CROSS BLUE SHIELD
MO
01
—
10852950
CAQHEALTH CARE
MO
01
—
22-00550
UNITED HEALTH CARE
MO
05
—
318275906
—
MO
Enumeration date
06/21/2006
Last updated
04/11/2008
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