Individual provider Active NPI

Beth E Lin, O.D.

  • Optometrist
  • Westlake, OH
National Provider Identifier
1457639239
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6053 Issued in OH
Practice address
29160 Center Ridge Rd Ste G
Westlake, OH 44145-5265
Phone
(614) 746-6339
NPI assigned
Jul 28, 2011
Last updated
Apr 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 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 6053 OH Primary

Addresses

Primary practice location

29160 Center Ridge Rd Ste G
Westlake, OH 44145-5265

Mailing address

29101 Health Campus Dr
Suite 340
Westlake, OH 44145-5270
Phone (440) 835-6255

Other identifiers 1

IdentifierTypeStateIssuer
0056007MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20111028000184 OH Practitioner - Optometry 3678746187 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

29160 Ctr Ridge Rd
Suite G
Westlake, OH 44145-5265
Phone (440) 881-0002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6053OHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Eye Consultants Inc CurrentSince Dec 1, 2020 Accepting new patients
Northern Ohio Eye Consultants Inc Optometrist CurrentSince Dec 1, 2020 Accepting new patients
Nuwave Vision LLC Optometrist CurrentSince Apr 10, 2023 Accepting new patients
Robert M. Stern MD Inc PastSince Oct 15, 2011 Accepting new patients

Locations

7001 S Edgerton Rd
Ste B
Brecksville, OH 44141
Phone (440) 526-1974

6880 W Snowville Rd
Ste 215
Brecksville, OH 44141
Phone (440) 526-1974

2740 Carnegie Ave
Cleveland, OH 44115
Phone (216) 621-6132

4685 Liberty Ave
Vermilion, OH 44089
Phone (440) 967-2020

29160 Center Ridge Rd
Ste G
Westlake, OH 44145
Phone (440) 835-4380

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": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1457639239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29101 HEALTH CAMPUS DR",
            "address_2": "SUITE 340",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455270",
            "telephone_number": "440-835-6255",
            "fax_number": "440-899-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29160 CENTER RIDGE RD STE G",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455265",
            "telephone_number": "614-746-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "BETH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-28",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0056007",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.