Active NPI
Ron Lung-Jeng Lin, OD
- Optometrist
- Holmdel, NJ
National Provider Identifier
1548484447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OA 5775
- Practice address
- 2145 State Route 35
Holmdel, NJ 07733-1164 - Phone
- (732) 335-0004
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- Sole proprietor
- No
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 | OA 5775 | NJ | Primary |
Addresses
Primary practice location
2145 State Route 35
Holmdel, NJ 07733-1164
Mailing address
2145 State Route 35
Holmdel, NJ 07733-1164
Phone (732) 335-0004
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OA 5775 | NJ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548484447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2145 STATE ROUTE 35",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331164",
"telephone_number": "732-335-0004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2145 STATE ROUTE 35",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331164",
"telephone_number": "732-335-0004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "RON",
"middle_name": "LUNG-JENG",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "OA 5775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holmdel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.