Individual provider Active NPI

Alyson Lin, O.D.

  • Optometrist
  • Laguna Hills, CA
National Provider Identifier
1104278134
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33406 Issued in CA
Practice address
24411 Health Center Dr
Medical Tower, Suite 340
Laguna Hills, CA 92653-3651
Phone
(949) 770-1322
NPI assigned
Jul 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33406 CA Primary

Addresses

Primary practice location

24411 Health Center Dr
Medical Tower, Suite 340
Laguna Hills, CA 92653-3651

Mailing address

63 Evening Sun
Irvine, CA 92620-3108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170425002534 CA Practitioner - Optometry 7315224524 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luis a Chanes M D IncGroup PAC ID 9739118829, 6 clinicians

Practice addresses (Care Compare)

2621 S Bristol St
Suite 205
Santa Ana, CA 92704-5700
Phone (714) 557-5777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33406CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Luis a Chanes M D Inc CurrentSince Apr 29, 2024 Accepting new patients
Blink Eye Care Optometrist Current Accepting new patients
George M. Salib, M.D. Inc. CurrentSince Mar 4, 2017 Accepting new patients
William L MC Carthy Jr MD Inc Past Accepting new patients
Jimmy K. Lee, M.D. Inc. Past Accepting new patients

Locations

2656 W La Palma Ave
Anaheim, CA 92801
Phone (714) 995-3132

24422 Avenida de la Carlota
Ste 110
Laguna Hills, CA 92653
Phone (949) 770-1322

24411 Health Center Dr
Ste 340
Laguna Hills, CA 92653
Phone (949) 770-1322

27871 Medical Center Rd
Ste 120
Mission Viejo, CA 92691
Phone (714) 901-2006

2621 S Bristol St
Ste 205
Santa Ana, CA 92704
Phone (714) 557-5777

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1104278134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 EVENING SUN",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24411 HEALTH CENTER DR",
            "address_2": "MEDICAL TOWER, SUITE 340",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533651",
            "telephone_number": "949-770-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "ALYSON",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.