Angela Lin OD
Organization Active NPI Optometrist · Bellevue, WA
NPI 1578283818 · NPPES record last updated Nov 17, 2022
Key facts
- NPI
- 1578283818
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- ANGELA LIN OD
- Practice address
- 10220 NE 8TH St
Bellevue, WA 98004-4217 - Phone
- (425) 455-4602
- NPI assigned
- Aug 29, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. Angela Lin, OD
- Title
- Owner
- Phone
- (206) 265-3836
Practitioners 2
-
Angela Lin, OD60733416
-
John Charles Brown, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221122000666 | WA | Part B Supplier - Clinic/Group Practice | 4082082102 |
Receives reassigned benefits from 1 practitioner Practice locations: Bellevue, WA |
National Provider Directory
Locations
10220 NE 8th St
Bellevue, WA 98004
Phone (425) 455-4602
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
10220 NE 8TH St
Bellevue, WA 98004-4217
Mailing address
10220 NE 8TH St
Bellevue, WA 98004-4217
Phone (425) 455-4602
Other names
- Envision Optometry
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.