Active NPI
Alice Huaiching Lin, O.D
- Optometrist
- Newark, CA
National Provider Identifier
1770636896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 11009T
- Practice address
- 39055 Cedar Blvd Ste 133
Newark, CA 94560-5009 - Phone
- (510) 795-0888
- Fax
- (510) 795-0809
- NPI assigned
- Jan 19, 2007
- 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 | OPT 11009T | CA | Primary |
Addresses
Primary practice location
39055 Cedar Blvd Ste 133
Newark, CA 94560-5009
Mailing address
39055 Cedar Blvd Ste 133
Newark, CA 94560-5009
Phone (510) 795-0888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5702933 | Other | CA | MEDI-CAL PIN # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT 11009T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Craig Anthony Lenz | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770636896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39055 CEDAR BLVD STE 133",
"city": "NEWARK",
"state": "CA",
"postal_code": "945605009",
"telephone_number": "510-795-0888",
"fax_number": "510-795-0809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39055 CEDAR BLVD STE 133",
"city": "NEWARK",
"state": "CA",
"postal_code": "945605009",
"telephone_number": "510-795-0888",
"fax_number": "510-795-0809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "ALICE",
"middle_name": "HUAICHING",
"credential": "O.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT 11009T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL PIN #",
"identifier": "5702933",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.