Individual provider Active NPI

Peter Lan Lin, O.D.

  • Optometrist
  • El Paso, TX
National Provider Identifier
1619273190
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007660 Issued in NY
Practice address
4800 Alberta Ave
El Paso, TX 79905-2709
Phone
(915) 215-6051
NPI assigned
Feb 1, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007660 NY Primary
Optometrist 152W00000X TX8058TG TX

Addresses

Primary practice location

4800 Alberta Ave
El Paso, TX 79905-2709

Mailing address

1500 Magruder St
141C
El Paso, TX 79925-1901
Phone (626) 340-3373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140226001650 TX Practitioner - Optometry 7012147689 Reassigns benefits to 1 organization
I20180531002852 NY Practitioner - Optometry 7012147689 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1536 Flatbush Ave
Brooklyn, NY 11210-2427
Phone (718) 434-2222

1704 Church Ave
Brooklyn, NY 11226-2630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TX8058TGTXMDOptometrist
8058TXMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
GVC Vision 1, Inc Optometrist CurrentSince Dec 29, 2022 Accepting new patients
Brooklyn Vision Center Inc Optometrist CurrentSince Dec 29, 2022 Accepting new patients
Texas Tech University Health Sciences Center El Paso Optometrist CurrentSince Feb 1, 2014 Accepting new patients
Luxeye Mott LLC Optometrist CurrentSince Mar 17, 2018 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Feb 1, 2014 Accepting new patients
Harlem Vision Group Inc. Optometrist CurrentSince Jun 1, 2025 Accepting new patients

Locations

1704 Church Ave
Brooklyn, NY 11226
Phone (718) 684-5000

1536 Flatbush Ave
Brooklyn, NY 11210
Phone (718) 434-2222

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

4800 Alberta Ave
#101
El Paso, TX 79905
Phone (915) 215-4478

4800 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5666

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1619273190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MAGRUDER ST",
            "address_2": "141C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251901",
            "telephone_number": "626-340-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 ALBERTA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052709",
            "telephone_number": "915-215-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "PETER",
        "middle_name": "LAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-01",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007660",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "TX8058TG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.