Individual provider Active NPI

Paul R. Lin, O.D.

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1740300623
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
198 Issued in HI
Practice address
700 Keeaumoku St
Honolulu, HI 96814-3014
Phone
(808) 949-3937
Fax
(808) 955-8526
NPI assigned
Apr 2, 2007
Last updated
Nov 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 198 HI Primary

Addresses

Primary practice location

700 Keeaumoku St
Honolulu, HI 96814-3014

Mailing address

700 Keeaumoku St
Honolulu, HI 96814-3014
Phone (808) 949-3937

Other identifiers 1

IdentifierTypeStateIssuer
B 18313OtherHIHMSA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20060105000879 HI Practitioner - Optometry 7911895818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lins Eye Care LLCGroup PAC ID 0446582084, 2 clinicians

Practice addresses (Care Compare)

700 Keeaumoku St
Honolulu, HI 96814-3014
Phone (808) 949-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
198HIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Lins Eye Care LLC Optometrist CurrentSince Aug 2, 2018 Accepting new patients

Locations

700 Keeaumoku St
Honolulu, HI 96814
Phone (808) 949-3937

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1740300623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 KEEAUMOKU ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143014",
            "telephone_number": "808-949-3937",
            "fax_number": "808-955-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 KEEAUMOKU ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143014",
            "telephone_number": "808-949-3937",
            "fax_number": "808-955-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "PAUL",
        "middle_name": "R.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "B 18313",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.