STACIE R LYNN OD
NPI 1639164247
Optometrist in Philadelphia, PA

Q: What is Stacie Lynn's NPI number?

The NPI number for Stacie Lynn is 1639164247. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Q: What is Stacie Lynn's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacie Lynn was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 20, 2005

9863 BUSLETON AVE, STE A, PHILADELPHIA, PA 19115(215) 969-1100 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 19, 2025, May 17, 2019 (2 updates tracked since 2019).

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About Stacie R Lynn Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACIE R LYNN OD (NPI 1639164247) is an individual optometrist in Philadelphia, Pennsylvania, licensed in Pennsylvania (OEG002050) and active in the NPI registry since September 2005. She maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1639164247

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameSTACIE R LYNNCredential: OD

Location Address9863 BUSLETON AVE, STE APhiladelphia, PA 19115

Mailing Address1425 Sloan WayAmbler, PA 19002-1205 · (773) 531-5568

Phone(215) 969-1100

Sole ProprietorNo

Enumeration DateSeptember 20, 2005

Last NPPES UpdateMarch 19, 20252 updates tracked since enumeration

NPPES CertifiedMarch 17, 2025

✔ NPI 1639164247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in PA · OEG002050✔ Licensed in IL · 046-009376

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Also ListedOphthalmologyTaxonomy 207W00000X · License 046009376 (IL)

9863 BUSLETON AVE, Philadelphia, PA 19115

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Secondary Practice Location 1

Location 13241 S Michigan AveChicago, IL 60616-3849 · Phone (312) 225-6200 · Fax (312) 949-7660

Other Identifiers 1

Medicaid046009376IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacie Lynn's NPI number?

The NPI number for Stacie Lynn is 1639164247. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Stacie Lynn located?

Stacie Lynn practices at 9863 Busleton Ave Ste A, Philadelphia, PA 19115. The listed phone number is (215) 969-1100.

What is Stacie Lynn's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

What insurance does Stacie Lynn accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Stacie Lynn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacie Lynn was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.