Individual provider Active NPI

Linh Lien Tang, O.D.

  • Optometrist
  • Austin, TX
National Provider Identifier
1790072064
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7877T Issued in TX
Practice address
500 E Ben White Blvd
Ste D600
Austin, TX 78704-3263
Phone
(512) 912-0920
NPI assigned
Jul 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7877T TX Primary

Addresses

Primary practice location

500 E Ben White Blvd
Ste D600
Austin, TX 78704-3263

Mailing address

500 E Ben White Blvd
Ste D600
Austin, TX 78704-3263
Phone (512) 912-0920

Other identifiers 1

IdentifierTypeStateIssuer
293399601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120125000843 TX Practitioner - Optometry 7416124870 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7877TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Linh Lien OD, PLLC Optometrist CurrentSince May 1, 2021 Accepting new patients
Keith Dennis OD PA Optometrist CurrentSince Aug 28, 2015 Accepting new patients
Ambrose Mobile Health Care Association Past Accepting new patients
Ambrose Mobile Health Care Association Past Accepting new patients
Jeffrey S. Snyder, O.D & Associates, PC Optometrist Past Accepting new patients

Locations

500 E Ben White Blvd
Austin, TX 78704
Phone (512) 912-0920

500 E Ben White Blvd
Ste D600
Austin, TX 78704
Phone (512) 912-0920

3107 S Interstate 35
Ste 780B
Round Rock, TX 78664
Phone (512) 248-2020

Organizations & group practices 5

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": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1790072064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E BEN WHITE BLVD",
            "address_2": "STE D600",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787043263",
            "telephone_number": "512-912-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E BEN WHITE BLVD",
            "address_2": "STE D600",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787043263",
            "telephone_number": "512-912-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "LINH",
        "middle_name": "LIEN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7877T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "293399601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.