MEDICARE: MADISON LYN HAY OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPT.0003930	CO

General Provider Information

NPI Number	:	1376229443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADISON LYN HAY OD

Provider Business Mailing Address
First Line	:	8614 WESTWOOD CENTER DR FL 9
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22182-2442
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2290 KIPLING ST UNIT 1
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80215-1546
Country	:	US
Telephone Number	:	303-238-9900
Fax Number	:	303-238-8527

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2023
Last Update Date	:	01/02/2026

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