Individual provider Active NPI

Melissa O Lin

  • Optometrist
  • Oakland, CA
National Provider Identifier
1952535007
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7242TG Issued in TX
Practice address
80 Grand Ave Ste 700
Oakland, CA 94612-3744
Phone
(510) 893-4318
NPI assigned
May 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7242TG TX Primary

Addresses

Primary practice location

80 Grand Ave Ste 700
Oakland, CA 94612-3744

Mailing address

80 Grand Ave Ste 700
Oakland, CA 94612-3744
Phone (510) 893-4318

Other practice location 1

3685 Mt Diablo Blvd Ste 100
Lafayette, CA 94549-3770
Phone (925) 283-8400

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
I20151207001280 CA Practitioner - Optometry 3971803479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians of the East Bay Medical CorporationGroup PAC ID 8022066075, 5 clinicians

Practice addresses (Care Compare)

80 Grand Ave
Suite 700
Oakland, CA 94612-3744
Phone (510) 893-4318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7242TGTXMDOptometrist

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1952535007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 GRAND AVE STE 700",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123744",
            "telephone_number": "510-893-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 GRAND AVE STE 700",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123744",
            "telephone_number": "510-893-4318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3685 Mt Diablo Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CA",
            "postal_code": "945493770",
            "country_code": "US",
            "telephone_number": "925-283-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "MELISSA",
        "middle_name": "O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-04",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7242TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.