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Lynnes Moc LLC

NPI 1689291254ActiveOrganization· Optometrist· Madison, WI

Optometrist in Madison, Wisconsin, registered in NPPES in June 2020. The authorized official on file is Lynne G. Derra, Owner.

Overview

NPI1689291254
StatusActive
Entity typeOrganization
NPI issuedJun 30, 2020
Last updated in NPPESApr 3, 2025
Certified by providerApr 3, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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