Amy S. Lin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11853T Issued in CA

Practice address

1480 Moraga Rd
Suite I - 222
Moraga, CA 94556-2005

Phone

(415) 786-4521

Fax

(206) 426-7275

NPI assigned

Nov 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vision Dynamics Optometric Center

  • Optometrist
  • Danville, CA
  • NPI 1023378635
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1407925811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 SYCAMORE VALLEY RD WEST",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945263951",
            "telephone_number": "925-838-3021",
            "fax_number": "206-426-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 MORAGA RD",
            "address_2": "SUITE I - 222",
            "city": "MORAGA",
            "state": "CA",
            "postal_code": "945562005",
            "telephone_number": "415-786-4521",
            "fax_number": "206-426-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "AMY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11853T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Cathryn Knudsen, DPT
• Kathryn Elizabeth Lenhart, RDN
• Tomislav Leskovar, M.D.
• Liya Levanda, PSYD
• Patti Liberman, LMFT
• Xueqin Lin, M.ED., LPCC
• Jennifer Lokotkin, PT, DPT
• Longs Drug Stores California LLC
• Scott D Lothamer, DDS
• Lunar View Optometry

• Optometrist in Moraga, CA
• Providers in Moraga, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.