Individual provider Active NPI

Luke Livingstone Lin, OD

  • Optometrist
  • Lemon Grove, CA
National Provider Identifier
1639862501
Registry record updated May 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35442 Issued in CA
Practice address
7155 Broadway
Lemon Grove, CA 91945-1408
Phone
(858) 848-4749
NPI assigned
May 29, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 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 35442 CA Primary

Addresses

Primary practice location

7155 Broadway
Lemon Grove, CA 91945-1408

Mailing address

11105 Ice Skate PL
San Diego, CA 92126-4867
Phone (858) 848-4749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240826003678 CA Practitioner - Optometry 9638618333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kuei-Yu Chang OD Inc a Professional CorporationGroup PAC ID 1456773555, 3 clinicians

Practice addresses (Care Compare)

8519 Irvine Ctr Dr
Irvine, CA 92618-4298
Phone (949) 585-9403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kuei-Yu Chang O.D. Inc., a Professional Corporation Optometrist CurrentSince Jun 29, 2024 Accepting new patients

Locations

415 Fletcher Pkwy
Ste 539
El Cajon, CA 92020
Phone (619) 441-0138

8519 Irvine Center Dr
Irvine, CA 92618
Phone (949) 585-9403

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685318400000",
    "number": "1639862501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11105 ICE SKATE PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264867",
            "telephone_number": "858-848-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7155 BROADWAY",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919451408",
            "telephone_number": "858-848-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "LUKE",
        "middle_name": "LIVINGSTONE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemon Grove, CA

Sources for this page

Verify at the official NPI Registry.