Individual provider Active NPI

Laureen Kaye Link, OD

  • Optometrist
  • Redding, CA
National Provider Identifier
1801871801
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
07261T Issued in CA
Practice address
3241 Churn Creek Rd
Redding, CA 96002-2516
Phone
(530) 222-2020
Fax
(530) 222-2078
NPI assigned
Dec 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 07261T CA Primary

Addresses

Primary practice location

3241 Churn Creek Rd
Redding, CA 96002-2516

Mailing address

3241 Churn Creek Rd
Redding, CA 96002-2516
Phone (530) 222-2020

Other identifiers 1

IdentifierTypeStateIssuer
SD0072610MedicaidCA

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
I20081211000263 CA Practitioner - Optometry 5092876003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1031 Washington St
Red Bluff, CA 96080-2746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07261TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Cooper & Link, Optometrists, Apc Optometrist CurrentSince Apr 15, 1991 Accepting new patients

Locations

3241 Churn Creek Rd
Redding, CA 96002
Phone (530) 222-2020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1801871801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 CHURN CREEK RD",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022516",
            "telephone_number": "530-222-2020",
            "fax_number": "530-222-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3241 CHURN CREEK RD",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022516",
            "telephone_number": "530-222-2020",
            "fax_number": "530-222-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINK",
        "first_name": "LAUREEN",
        "middle_name": "KAYE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "07261T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0072610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.