Individual provider Active NPI

Wonchon Lin, M.D.

  • Ophthalmology Physician
  • Las Vegas, NV
National Provider Identifier
1417214313
Registry record updated Jul 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
17092 Issued in NV
Practice address
4974 S Rainbow Blvd Ste 100
Las Vegas, NV 89118-1413
Phone
(702) 570-2820
Fax
(831) 604-0306
NPI assigned
Apr 16, 2012
Last updated
Jul 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A128895 CA
Cornea and External Diseases Specialist Physician 207WX0120X 17092 NV
Cornea and External Diseases Specialist Physician 207WX0120X A128895 CA
Ophthalmology Physician 207W00000X 17092 NV Primary

Addresses

Primary practice location

4974 S Rainbow Blvd Ste 100
Las Vegas, NV 89118-1413

Mailing address

4974 S Rainbow Blvd Ste 100
Las Vegas, NV 89118-1413
Phone (702) 570-2820

Other practice location 1

2580 S Decatur Blvd Ste 6
Las Vegas, NV 89102-5513
Phone (702) 570-2820

Other practice location 2

5380 S Rainbow Blvd Ste 108
Las Vegas, NV 89118-1878
Phone (702) 570-2820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170808002985 NV Practitioner - Ophthalmology 9133413420 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4974 S Rainbow Blvd
Suite 100
Las Vegas, NV 89118-1413
Phone (702) 570-2820

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17092NVMDPharmacist
A128895CAMDCornea and External Diseases Specialist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MC Medical Group of Nevada, P.C CurrentSince Mar 16, 2021 Accepting new patients
Wonchon Lin, M.D., PLLC Ophthalmology CurrentSince Dec 3, 2019 Accepting new patients
Optic Gallery Sahara LLC PastSince Jan 1, 2020 Accepting new patients
Duke University Health System, Inc. PastSince Dec 3, 2019 Accepting new patients

Locations

2580 S Decatur Blvd
Ste 6
Las Vegas, NV 89102
Phone (702) 570-2820

4974 S Rainbow Blvd
Ste 100
Las Vegas, NV 89118
Phone (702) 570-2820

5380 S Rainbow Blvd
Ste 108
Las Vegas, NV 89118
Phone (702) 220-3223

4755 W Ann Rd
North Las Vegas, NV 89031
Phone (702) 396-2857

Interoperability endpoints

  • Direct secure messaging: wlin@directaddress.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751760000000",
    "number": "1417214313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4974 S RAINBOW BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181413",
            "telephone_number": "702-570-2820",
            "fax_number": "831-604-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4974 S RAINBOW BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181413",
            "telephone_number": "702-570-2820",
            "fax_number": "831-604-0306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2580 S Decatur Blvd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891025513",
            "country_code": "US",
            "telephone_number": "702-570-2820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5380 S Rainbow Blvd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891181878",
            "country_code": "US",
            "telephone_number": "702-570-2820",
            "fax_number": "831-604-0306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "WONCHON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-16",
        "last_updated": "2025-07-06",
        "certification_date": "2025-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A128895",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "NV",
            "license": "17092",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "CA",
            "license": "A128895",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "17092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.