Individual provider Active NPI

Angela Lin, OD60733416

  • Optometrist
  • Bellevue, WA
National Provider Identifier
1891234407
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60733416 Issued in WA
Practice address
10220 NE 8TH St
Bellevue, WA 98004-4217
Phone
(425) 455-4602
NPI assigned
Feb 15, 2017
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD60733416 WA Primary

Addresses

Primary practice location

10220 NE 8TH St
Bellevue, WA 98004-4217

Mailing address

7038 Ravenna Ave NE
Seattle, WA 98115-5840
Phone (206) 265-3836

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
I20170321000642 WA Practitioner - Optometry 4587949201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10220 NE 8TH St
Bellevue, WA 98004-4217
Phone (425) 455-4602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD60733416WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Angela Lin OD Optometrist CurrentSince Sep 1, 2022 Accepting new patients

Locations

10220 NE 8th St
Bellevue, WA 98004
Phone (425) 455-4602

Organizations & group practices 1

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": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1891234407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7038 RAVENNA AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155840",
            "telephone_number": "206-265-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10220 NE 8TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044217",
            "telephone_number": "425-455-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "ANGELA",
        "credential": "OD60733416",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-15",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60733416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.