Individual provider Active NPI

Linda Her Shyuan Lin, MD

  • Ophthalmology Physician
  • Conroe, TX
National Provider Identifier
1831171784
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
M0795 Issued in TX
Practice address
400 S Loop 336 W
Conroe, TX 77304-3302
Phone
(936) 539-4500
Fax
(936) 539-4050
NPI assigned
Nov 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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 M0795 TX Primary

Addresses

Primary practice location

400 S Loop 336 W
Conroe, TX 77304-3302

Mailing address

400 S Loop 336 W
Conroe, TX 77304-3302
Phone (936) 539-4500

Other practice location 1

129 Vision Park Blvd Ste 110
Shenandoah, TX 77384-3024
Phone (936) 539-4500

Other practice location 2

3361 Montgomery Rd
Huntsville, TX 77340-6416
Phone (936) 539-4500

Other identifiers 3

IdentifierTypeStateIssuer
8S3470OtherTXBCBS
8D6350OtherRR MEDICARE
176301301MedicaidTX

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050713000416 TX Practitioner - Ophthalmology 7416939194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northwestern University Feinberg Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dejean and Kuglen Eye Associates LLPGroup PAC ID 8527041128, 9 clinicians

Practice addresses (Care Compare)

129 Vision Park Blvd
Suite 110
Shenandoah, TX 77384-3024
Phone (936) 539-4500

Merit-based Incentive Payment System (MIPS)

Final score
90.63 of 100Reported as group
Quality
95.33
Improvement activities
40
Cost
74.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery121

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M0795TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dejean & Kuglen Eye Associates, LLP CurrentSince Feb 1, 2008 Accepting new patients
Dejean & Kuglen Eye Associates LLP Ophthalmology CurrentSince Feb 1, 2008 Accepting new patients
Eye Physicians of North Houston PA Ophthalmology PastSince Aug 9, 2010 Accepting new patients

Locations

400 S Loop 336 W
Conroe, TX 77304
Phone (406) 539-4500

3361 Montgomery Rd
Huntsville, TX 77340
Phone (936) 539-4500

129 Vision Park Blvd
Ste 110
Shenandoah, TX 77384
Phone (936) 539-4500

Interoperability endpoints

  • Direct secure messaging: llin@averyeye.emadirect.md

Organizations & group practices 3

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1831171784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S LOOP 336 W",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043302",
            "telephone_number": "936-539-4500",
            "fax_number": "936-539-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S LOOP 336 W",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043302",
            "telephone_number": "936-539-4500",
            "fax_number": "936-539-4050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 Vision Park Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773843024",
            "country_code": "US",
            "telephone_number": "936-539-4500",
            "fax_number": "936-539-4050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3361 Montgomery Rd",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "TX",
            "postal_code": "773406416",
            "country_code": "US",
            "telephone_number": "936-539-4500",
            "fax_number": "936-539-4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "LINDA",
        "middle_name": "HER SHYUAN",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "M0795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8S3470",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "8D6350",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176301301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.