Individual provider Active NPI

Emily Meiyu Lin, OD

  • Optometrist
  • San Ramon, CA
National Provider Identifier
1275969271
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14775 Issued in CA
Practice address
175 Market PL
San Ramon, CA 94583-4741
Phone
(925) 275-0202
NPI assigned
Sep 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14775 CA Primary

Addresses

Primary practice location

175 Market PL
San Ramon, CA 94583-4741

Mailing address

175 Market PL
San Ramon, CA 94583-4741
Phone (925) 275-0202

Other practice location 1

1895 Mowry Ave Ste 117
Fremont, CA 94538-1736
Phone (510) 797-8770

Other names 1

  • Meiyu Lin Former name

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
I20160825000906 CA Practitioner - Optometry 0042505307 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jamie Wong OD IncGroup PAC ID 8022439389, 3 clinicians

Practice addresses (Care Compare)

1895 Mowry Ave
Suite 117
Fremont, CA 94538-1736
Phone (510) 797-8770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jamie Wong OD Inc Optometrist CurrentSince May 1, 2023 Accepting new patients
San Ramon Optometric Group Inc Optometrist CurrentSince Feb 1, 2019 Accepting new patients
Doris H Wong Optometric Corporation Optometrist CurrentSince Sep 11, 2023 Accepting new patients
Eyevue Optometry, Inc. Optometrist PastSince Jun 1, 2022 Accepting new patients

Locations

1895 Mowry Ave
Ste 117
Fremont, CA 94538
Phone (510) 797-8770

175 Market Pl
San Ramon, CA 94583
Phone (925) 275-0202

2723 Crow Canyon Rd
Ste 102
San Ramon, CA 94583
Phone (925) 831-1084

Organizations & group practices 4

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": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1275969271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MARKET PL",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834741",
            "telephone_number": "925-275-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MARKET PL",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834741",
            "telephone_number": "925-275-0202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1895 Mowry Ave Ste 117",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945381736",
            "country_code": "US",
            "telephone_number": "510-797-8770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "EMILY",
        "middle_name": "MEIYU",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEIYU",
            "last_name": "LIN",
            "credential": "O.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.