Active NPI
James Lin, MD
- Ophthalmology Physician
- Poulsbo, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD00042094
- Practice address
- 20669 Bond Rd NE
Poulsbo, WA 98370-6525 - Phone
- (360) 779-2020
- Fax
- (360) 779-3093
- NPI assigned
- Oct 4, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD00042094 | WA | Primary |
Addresses
Primary practice location
20669 Bond Rd NE
Poulsbo, WA 98370-6525
Mailing address
20669 Bond Rd NE
Poulsbo, WA 98370-6525
Phone (360) 779-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8335762 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2029 E Sims Way
Port Townsend, WA 98368-6905
Phone (360) 385-5386
20669 Bond Rd NE
Poulsbo, WA 98370-6525
Phone (360) 779-2020
Hospital & facility affiliations
- St Michael Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.49 of 100
- Quality
- 96.94
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.7
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 512 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Eyecare of Poulsbo PS | Current | Accepting new patients | |
| Pacific Eye Care of Poulsbo PS | Ophthalmology | Current | Accepting new patients |
Locations
2029 E Sims Way
Port Townsend, WA 98368
Phone (360) 385-5386
20669 Bond Rd NE
Ste 100
Poulsbo, WA 98370
Phone (360) 779-2020
Interoperability endpoints
- jlin@pacificeyecare.intellechartdirect.net
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.
-
- Ophthalmology Physician
- Poulsbo, WA
- NPI 1205825262
-
- Eyewear Supplier
- PT Townsend, WA
- NPI 1649269242
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821085846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20669 BOND RD NE",
"city": "POULSBO",
"state": "WA",
"postal_code": "983706525",
"telephone_number": "360-779-2020",
"fax_number": "360-779-3093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20669 BOND RD NE",
"city": "POULSBO",
"state": "WA",
"postal_code": "983706525",
"telephone_number": "360-779-2020",
"fax_number": "360-779-3093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "JAMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "MD00042094",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8335762",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poulsbo, WA
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.