Active NPI
Lin Ma Chia, O.D.
- Optometrist
- Waltham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4962
- Practice address
- 400 5TH Ave
Suite 510
Waltham, MA 02451-8706 - Phone
- (781) 890-9922
- Fax
- (781) 890-9944
- NPI assigned
- Aug 8, 2013
- Last updated
- Mar 6, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 4962 | MA | Primary |
Addresses
Primary practice location
400 5TH Ave
Suite 510
Waltham, MA 02451-8706
Mailing address
400 5TH Ave
Suite 510
Waltham, MA 02451-8706
Phone (781) 890-9922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4962 | Other | MA | STATE LICENSE |
Other names 1
- Dr. Lin Ma
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeg Massachusetts Professional PC | Optometrist | Current | Accepting new patients |
Locations
296 Great Rd
Acton, MA 01720
Phone (978) 263-2773
15 Central St
Andover, MA 01810
Phone (978) 475-5252
86 Baker Avenue Ext
Concord, MA 01742
Phone (978) 287-9300
86 Baker Avenue Ext
Ste 302
Concord, MA 01742
Organizations & group practices 1
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.
-
- Optometrist
- Andover, MA
- NPI 1952035040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425600000000",
"number": "1578995866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 5TH AVE",
"address_2": "SUITE 510",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024518706",
"telephone_number": "781-890-9922",
"fax_number": "781-890-9944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 5TH AVE",
"address_2": "SUITE 510",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024518706",
"telephone_number": "781-890-9922",
"fax_number": "781-890-9944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIA",
"first_name": "LIN",
"middle_name": "MA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-08",
"last_updated": "2015-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4962",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "4962",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LIN",
"last_name": "MA",
"prefix": "DR.",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.