Individual provider Active NPI

Emily Lin, OD

  • Optometrist
  • Montebello, CA
National Provider Identifier
1225513229
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34113TLG Issued in CA
Practice address
2156 Montebello Town Ctr
Montebello, CA 90640-2170
Phone
(323) 720-1600
NPI assigned
Sep 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34113TLG CA Primary

Addresses

Primary practice location

2156 Montebello Town Ctr
Montebello, CA 90640-2170

Mailing address

491 W Longden Ave
Arcadia, CA 91007-8132
Phone (626) 617-2212

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
I20190514001892 CA Practitioner - Optometry 4183967151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Annessa Du, O.D., a Professional CorporationGroup PAC ID 8729445010, 3 clinicians

Practice addresses (Care Compare)

11346 Mountain View Ave
Suite B
Loma Linda, CA 92354-3833
Phone (909) 796-0101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34113TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Annessa Du, O.D., a Professional Corporation Optometrist CurrentSince Jan 19, 2026 Accepting new patients

Locations

11346 Mountain View Ave
Ste B
Loma Linda, CA 92354
Phone (909) 769-0101

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": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1225513229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 W LONGDEN AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910078132",
            "telephone_number": "626-617-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2156 MONTEBELLO TOWN CTR",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906402170",
            "telephone_number": "323-720-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "EMILY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34113TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

Verify at the official NPI Registry.