Ronicha Azard Lin, O.D.
Individual provider Active NPI Optometrist · Windsor, CT
NPI 1861843658 · NPPES record last updated May 25, 2021
Key facts
- NPI
- 1861843658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2984 (CT)
- Practice address
- 502 Windsor Ave
Windsor, CT 06095-4046 - Phone
- (860) 688-5303
- Fax
- (860) 688-5853
- NPI assigned
- Jun 23, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
502 Windsor Ave
Windsor, CT 06095-4046
Phone (860) 688-5303
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170505000168 | CT | Practitioner - Optometry | 1153608807 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Eye Care, LLC | Optometrist | Current |
Accepting new patients |
Locations
65 Raymond Rd
West Hartford, CT 06107
502 Windsor Ave
Windsor, CT 06095
Phone (860) 688-5303
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2984 | CT | Yes |
Addresses
Primary practice location
502 Windsor Ave
Windsor, CT 06095-4046
Mailing address
502 Windsor Ave
Windsor, CT 06095-4046
Phone (860) 688-5303
Other providers in Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.