NPIMap

Organization Active NPI

Jennifer Lin OD a Professional Corporation

Doing business as Wink Optometry

  • Optometrist
  • Mill Valley, CA
National Provider Identifier
1346525763
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13969 Issued in CA
Legal business name
JENNIFER LIN OD A PROFESSIONAL CORPORATION
Doing business as
Wink Optometry
Practice address
70 Throckmorton Ave
Mill Valley, CA 94941-1918
Phone
(415) 383-4085
Fax
(415) 634-1364
NPI assigned
Oct 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Authorized official

Name
Jennifer Lin, ODNPI 1144534827
Title
Owner/Managing Doctor
Phone
(916) 501-2821

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 13969 CA Primary

Addresses

Primary practice location

70 Throckmorton Ave
Mill Valley, CA 94941-1918

Mailing address

70 Throckmorton Ave
Mill Valley, CA 94941-1918
Phone (415) 383-4085

Other names 1

  • Wink Optometry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1346525763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 THROCKMORTON AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411918",
            "telephone_number": "415-383-4085",
            "fax_number": "415-634-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 THROCKMORTON AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411918",
            "telephone_number": "415-383-4085",
            "fax_number": "415-634-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER LIN OD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/MANAGING DOCTOR",
        "authorized_official_telephone_number": "916-501-2821",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wink Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mill Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.