Individual provider Active NPI

Linda Vang, OD

  • Optometrist
  • Santa Rosa, CA
National Provider Identifier
1912748575
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35730 Issued in CA
Practice address
2451 Summerfield Rd
Santa Rosa, CA 95405-7815
Phone
(707) 526-4050
NPI assigned
Jun 5, 2024
Last updated
Apr 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35730 CA Primary

Addresses

Primary practice location

2451 Summerfield Rd
Santa Rosa, CA 95405-7815

Mailing address

2451 Summerfield Rd
Santa Rosa, CA 95405-7815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240701003059 CA Practitioner - Optometry 4183168149 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2451 Summerfield Rd
Santa Rosa, CA 95405-7815

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35730CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Eos Eyecare Optometric Group Optometrist CurrentSince Jun 10, 2024 Accepting new patients
Advanced Vision Group, Inc. Optometrist CurrentSince Jun 10, 2024 Accepting new patients
Kimberly Lyons OD a Professional Optometric Corporation Optometrist CurrentSince Aug 1, 2024 Accepting new patients

Locations

2655 Cleveland Ave
Ste A
Santa Rosa, CA 95403
Phone (707) 542-8883

9240 Old Redwood Hwy
Unit 108
Windsor, CA 95492
Phone (707) 838-9393

Organizations & group practices 4

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": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1912748575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 SUMMERFIELD RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 SUMMERFIELD RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057815",
            "telephone_number": "707-526-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANG",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.