Individual provider Active NPI

Spencer Lin

  • Optometrist
  • Princeton, NJ
National Provider Identifier
1083270359
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00690200 Issued in NJ
Practice address
3535 US Highway 1 Ste 416
Princeton, NJ 08540-5974
Phone
(609) 520-1008
NPI assigned
May 13, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00690200 NJ Primary

Addresses

Primary practice location

3535 US Highway 1 Ste 416
Princeton, NJ 08540-5974

Mailing address

3535 US Highway 1 Ste 416
Princeton, NJ 08540-5974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190821000277 NJ Practitioner - Optometry 2961730577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Associates of PrincetonGroup PAC ID 5991924680, 6 clinicians

Practice addresses (Care Compare)

3535 Route 1
Suite 416
Princeton, NJ 08540-5974
Phone (609) 536-1017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of Princeton Optometrist CurrentSince Aug 1, 2019 Accepting new patients

Locations

3535 US Highway 1
Ste 416
Princeton, NJ 08540
Phone (609) 520-1008

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1083270359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 US HIGHWAY 1 STE 416",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 US HIGHWAY 1 STE 416",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405974",
            "telephone_number": "609-520-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "SPENCER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00690200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.