Organization Active NPI

Ginny Lin OD PLLC

  • Optometrist
  • Little Neck, NY
National Provider Identifier
1013550805
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GINNY LIN OD PLLC
Practice address
24812 Northern Blvd Ste 1D
Little Neck, NY 11362-1207
Phone
(718) 229-6780
Fax
(718) 229-1771
NPI assigned
Oct 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ginny Xiangning Lin, ODNPI 1275942831
Title
Owner
Phone
(718) 229-6780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

24812 Northern Blvd Ste 1D
Little Neck, NY 11362-1207

Mailing address

24812 Northern Blvd Ste 1D
Little Neck, NY 11362-1207
Phone (718) 229-6780

Other names 1

  • Little Neck Eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191202001297 NY Part B Supplier - Clinic/Group Practice 6608209804 Receives reassigned benefits from 1 practitioner
Practice locations: Little Neck, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1013550805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24812 NORTHERN BLVD STE 1D",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621207",
            "telephone_number": "718-229-6780",
            "fax_number": "718-229-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24812 NORTHERN BLVD STE 1D",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621207",
            "telephone_number": "718-229-6780",
            "fax_number": "718-229-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINNY LIN OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "GINNY",
        "authorized_official_middle_name": "XIANGNING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-229-6780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Neck Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.