Ken C Lin, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD10751 Issued in HI

Practice address

1441 Kapiolani Blvd Ste 1488
Honolulu, HI 96814-4471

Phone

(808) 946-7889

Fax

(808) 946-7880

NPI assigned

Feb 8, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Boston University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lin Eye Surgery and Laser Center LLCGroup PAC ID 4385535780, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• HI PPO
• devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

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

• Lin Eye Surgery & Laser Center LLC

  • Ophthalmology Physician
  • Honolulu, HI
  • NPI 1942341466
  Medicare reassignment Care Compare group NPD Authorized official
• Eugene W M NG MD LLC

  • Ophthalmology Physician
  • Honolulu, HI
  • NPI 1396014031
  NPD (past)
• Pacific Eye Surgery Center, Inc.

  • Ophthalmologic Surgery Clinic/Center
  • Honolulu, HI
  • NPI 1134112840
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1124169636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD STE 1488",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144471",
            "telephone_number": "808-946-7889",
            "fax_number": "808-946-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD STE 1488",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144471",
            "telephone_number": "808-946-7889",
            "fax_number": "808-946-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "KEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "MD10751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA PIN",
            "identifier": "00B0216883",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25229501",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD 10751",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Della M Lin, MD
• Dwight James Lin, M.D.
• James Chaang Lin, M.D.
• Janis Lin
• Joanna Qiao Lin
• Kristina Lin
• Kristopher James Lin, DO
• Leona Meilinpang Lin, MPT
• Mingsang Lin, M.D.
• Nancy Wang Neng Lin, L.AC.

• Ophthalmology Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Ophthalmology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.