Susan Ting Lin

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SUSAN TING LIN

Doing business as

Moderne Eye Optometry

Practice address

5802 College Ave
Oakland, CA 94618-1603

Phone

(510) 653-4242

Fax

(510) 653-4275

NPI assigned

Jun 5, 2013

Last updated

Jun 5, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Lin, ODNPI 1316979487

Title

Owner

Phone

(510) 653-4242

Specialties & licenses 1

Addresses

Other names 1

• Moderne Eye Optometry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan T R Lin, OD MS FAAO

  • Optometrist
  • Oakland, CA
  • NPI 1316979487
  NPD (past) Authorized official
• Reuben Kamiya Rivera, OD MS FAAO

  • Optometrist
  • Oakland, CA
  • NPI 1952346967
  NPD (past)

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1740628445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5802 COLLEGE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181603",
            "telephone_number": "510-653-4242",
            "fax_number": "510-653-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 COLLEGE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181603",
            "telephone_number": "510-653-4242",
            "fax_number": "510-653-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN TING LIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-653-4242",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moderne Eye Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Savannah Serena Sura
• Surgery Center of Oakland LP
• Surgical Physician Assistants, Inc. (Surgical Professionals Alliance)
• Monica Denise Suriaga, DO
• Karen Virginia Susag
• Matthew Susko, M.D.
• Ann Sussman, L.C.S.W.
• Joshua Michael Sussman, M.A., M.ED.
• Sustain the Rox ,Inc
• Iriani Sutanto-Dang, M.D.

• Optometrist in Oakland, CA
• Providers in Oakland, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.