Individual provider Active NPI

Susan H Link, OD

  • Optometrist
  • Oakland, CA
National Provider Identifier
1942361712
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT9734 Issued in CA
Practice address
491 30TH St
Suite 101
Oakland, CA 94609
Phone
(510) 444-0603
Fax
(510) 444-6046
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT9734 CA Primary

Addresses

Primary practice location

491 30TH St
Suite 101
Oakland, CA 94609

Mailing address

491 30TH St
Suite 101
Oakland, CA 94609
Phone (510) 444-0603

Other identifiers 1

IdentifierTypeStateIssuer
SD0097340MedicaidCA

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
I20070608000503 CA Practitioner - Optometry 1456459882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern California Cornea Associates IncGroup PAC ID 9830190511, 6 clinicians

Practice addresses (Care Compare)

3300 Webster St
Suite 608
Oakland, CA 94609-3101
Phone (510) 444-0603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT9734CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern California Cornea Associates Inc CurrentSince Jan 1, 2007 Accepting new patients
Northern California Cornea Associates.Inc. Optometrist Past Accepting new patients

Locations

491 30th St
Ste 101
Oakland, CA 94609
Phone (510) 444-0603

3300 Webster St
Ste 608
Oakland, CA 94609
Phone (510) 444-0603

122 La Casa Via
Ste 222
Walnut Creek, CA 94598
Phone (925) 937-0404

365 Lennon Ln
Ste 210
Walnut Creek, CA 94598
Phone (925) 944-1100

Organizations & group practices 2

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1942361712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 30TH ST",
            "address_2": "SUITE 101",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94609",
            "telephone_number": "510-444-0603",
            "fax_number": "510-444-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 30TH ST",
            "address_2": "SUITE 101",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94609",
            "telephone_number": "510-444-0603",
            "fax_number": "510-444-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINK",
        "first_name": "SUSAN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT9734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0097340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.