Individual provider Active NPI

Qianyu Lin, OD60974730

  • Optometrist
  • Silverdale, WA
National Provider Identifier
1821644469
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60974730 Issued in WA
Practice address
10300 Silverdale Way NW
Silverdale, WA 98383-7990
Phone
(360) 633-2933
NPI assigned
Aug 9, 2019
Last updated
Oct 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 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 OD60974730 WA Primary

Addresses

Primary practice location

10300 Silverdale Way NW
Silverdale, WA 98383-7990

Mailing address

134 Central Way
Kirkland, WA 98033-6106
Phone (425) 889-2020

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211008002666 WA Practitioner - Optometry 7416354790 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evergreen Eye Center PLLCGroup PAC ID 3173410057, 33 clinicians
Washington Pacific Eye Associates IncGroup PAC ID 6204800204, 3 clinicians

Practice addresses (Care Compare)

1101 Madison St
Suite 600
Seattle, WA 98104-3501
Phone (206) 215-2020

134 Central Way
Kirkland, WA 98033-6106
Phone (425) 889-2020

Merit-based Incentive Payment System (MIPS)

Final score
91.07 of 100Reported as group
Quality
95.67
Improvement activities
40
Cost
76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD60974730WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Eye Center, PLLC CurrentSince Nov 19, 2025 Accepting new patients
Washington Pacific Eye Associates Inc. CurrentSince Sep 21, 2021 Accepting new patients
Evergreen Eye Center, PLLC Optometrist CurrentSince Nov 19, 2025 Accepting new patients
Evergreen Eye Center, PLLC Past Accepting new patients
America's Best Contacts & Eyeglasses PastSince Aug 11, 2019 Accepting new patients
Evergreen Eye Center, PLLC Optometrist Past Accepting new patients
Evergreen Eye Center, PLLC Past Accepting new patients

Locations

21616 76th Ave W
Ste 110
Edmonds, WA 98026
Phone (425) 775-0548

34719 6th Ave S
Federal Way, WA 98003
Phone (206) 212-2100

134 Central Way
Kirkland, WA 98033
Phone (425) 889-2020

1101 Madison St
Ste 600
Seattle, WA 98104
Phone (206) 215-2004

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1821644469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 CENTRAL WAY",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336106",
            "telephone_number": "425-889-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SILVERDALE WAY NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837990",
            "telephone_number": "360-633-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "QIANYU",
        "credential": "OD60974730",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60974730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.