Active NPI
Gloria Lin, O.D.
- Optometrist
- Daly City, CA
National Provider Identifier
1326420340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 15307TLG
- Practice address
- 2171 Junipero Serra Blvd Ste 410
Daly City, CA 94014-1984 - Phone
- (800) 454-2747
- NPI assigned
- Jun 25, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 15307TLG | CA | Primary |
Addresses
Primary practice location
2171 Junipero Serra Blvd Ste 410
Daly City, CA 94014-1984
Mailing address
2171 Junipero Serra Blvd Ste 410
Daly City, CA 94014-1984
Phone (800) 454-2747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15307TLG | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484956800000",
"number": "1326420340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2171 JUNIPERO SERRA BLVD STE 410",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940141984",
"telephone_number": "800-454-2747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2171 JUNIPERO SERRA BLVD STE 410",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940141984",
"telephone_number": "800-454-2747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "GLORIA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-25",
"last_updated": "2017-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "15307TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.