Individual provider Active NPI

Victor Lin, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1164083721
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008974 Issued in NY
Practice address
1865 86TH St
Brooklyn, NY 11214-3108
Phone
(718) 975-8778
NPI assigned
Jun 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008974 NY Primary

Addresses

Primary practice location

1865 86TH St
Brooklyn, NY 11214-3108

Mailing address

1865 86TH St
Brooklyn, NY 11214-3108
Phone (718) 975-8778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20201023001906 NY Practitioner - Optometry 1456771823 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
Chinatown True Care Medical PLLCGroup PAC ID 2163859760, 245 clinicians

Practice addresses (Care Compare)

1865 86TH St
Brooklyn, NY 11214-3108
Phone (718) 975-5462

1867 86TH St
FL 1
Brooklyn, NY 11214-3108
Phone (718) 872-7777

749 61St St
Brooklyn, NY 11220-5162

8686 Bay Pkwy
Suite M1
Brooklyn, NY 11214-5193
Phone (718) 372-0888

94 Bowery
New York, NY 10013-4888
Phone (646) 570-1033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008974NYMDOptometrist
008974NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chinatown True Care Medical PLLC CurrentSince Nov 23, 2022 Accepting new patients

Locations

757 60th St
Ste 1
Brooklyn, NY 11220
Phone (718) 567-8899

749 61st St
Fl 6
Brooklyn, NY 11220
Phone (646) 570-1033

4235 Main St
Ste 3E
Flushing, NY 11355
Phone (718) 886-5068

94 Bowery
Frnt 2
New York, NY 10013
Phone (646) 630-8266

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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1164083721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143108",
            "telephone_number": "718-975-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143108",
            "telephone_number": "718-975-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-25",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.