Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacie R Lynn, OD

Individual provider Ophthalmology Physician · NPI 1639164247

Stacie R Lynn, OD is an Ophthalmology Physician in Philadelphia, Pennsylvania. Works from 2 locations. Licensed in Illinois and Pennsylvania.

Licensed in
IL, PA
In the registry since
2005
Specialties on file
3
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

9863 Busleton Ave Ste A
Philadelphia, PA 19115
Phone: (215) 969-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3241 S Michigan Ave, Chicago, IL 60616-3849 — (312) 225-6200

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OEG002050 (PA)
Ophthalmology Physician Taxonomy 207W00000X · Licence 046009376 (IL)
Optometrist Taxonomy 152W00000X · Licence 046-009376 (IL)

Record details

NPI number1639164247
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 20, 2005
Last updated in NPPESMarch 19, 2025
Certification dateMarch 17, 2025

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