Individual provider Active NPI

James Lin, MD

  • Ophthalmology Physician
  • Poulsbo, WA
National Provider Identifier
1821085846
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD00042094 Issued in WA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8335762MedicaidWA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100421000380 WA Practitioner - Ophthalmology 3577600014 Reassigns benefits to 1 organization

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
Pacific Eyecare of Poulsbo PSGroup PAC ID 6709773807, 5 clinicians

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 Hospital, Silverdale, WA, CCN 500039

Merit-based Incentive Payment System (MIPS)

Final score
91.49 of 100Reported as group
Quality
96.94
Promoting interoperability
100
Improvement activities
40
Cost
74.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Eyecare of Poulsbo PS CurrentSince Jul 21, 2003 Accepting new patients
Pacific Eye Care of Poulsbo PS Ophthalmology CurrentSince Jul 21, 2003 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.