LYNNES MOC LLC
NPI 1689291254
Optometrist in Madison, WI

NPI Status: Active since June 30, 2020

Contact Information

512 STATE STREET
MADISON, WI
ZIP 53703
Phone: (608) 251-2020
Fax: (608) 251-5966

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  • Organization
  • Optometrist
  • Accepts Insurance

About LYNNES MOC LLC

This page provides the complete NPI Profile along with additional information for Lynnes Moc Llc, a provider established in Madison, Wisconsin operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1689291254 assigned on June 2020. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated April 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's . The authorized official of this NPI record is Ms. Lynne G. Derra (Owner)

NPI
1689291254
Provider Legal Name
LYNNES MOC LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
512 STATE STREET MADISON, WI 53703
Location Phone
(608) 251-2020
Location Fax
(608) 251-5966
Mailing Address
658 W WASHINGTON AVE MADISON, WI 53703
Mailing Phone
(608) 251-2020
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-30-2020
Last Update Date
04-03-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCross B07S HSA - EPO
  • BlueCross B15S $0 virtual care from Teladoc Health � - EPO
  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. LYNNE G. DERRA

Authorized Official Title
OWNER
Authorized Official Phone
(608) 251-2020

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1689291254
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26169492210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 4 + 9 + 2 + 2 + 1 + 0 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1689291254 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689291254, enumerated as an "organization" on June 30, 2020.

The provider is located at 512 STATE STREET MADISON, WI 53703 and the phone number is (608) 251-2020.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee. Please consult your insurance carrier or call the provider to verify.