Healthcare Provider Details

I. General information

NPI: 1730751785
Provider Name (Legal Business Name): LINDSEY HUTCHINSON OD, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2021
Last Update Date: 09/01/2023
Certification Date: 09/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 CLYDE MORRIS BLVD STE 330
ORMOND BEACH FL
32174-3114
US

IV. Provider business mailing address

345 CLYDE MORRIS BLVD STE 330
ORMOND BEACH FL
32174-3114
US

V. Phone/Fax

Practice location:
  • Phone: 386-672-4244
  • Fax: 386-672-0603
Mailing address:
  • Phone: 386-672-4244
  • Fax: 386-672-0603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPC6287
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: