JEANNIE WONG LIN (NPI# 1154395713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154395713 |
| Entity Type | Individual |
| Full Name | JEANNIE WONG LIN |
| Other Name | JEANNIE ANN WONG |
| Credential | OD |
| Practice Address |
491 30 St Ste 101 Oakland CA 94609 |
| Practice Telephone | 5164440603 |
| Practice Fax Number | 5108723119 |
| Mailing Telephone | 5164440603 |
| Mailing Fax Number | 5108723119 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT11238 | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | S70112780 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306870050 | Jeannie Chang Lin | Internal Medicine | 2707 E Valley Blvd, Suite 109, West Covina, CA 91792-3195 | 2006-07-10 |
| Street Address |
491 30 ST STE 101 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150003 | Yueying Guan | Optometrist | 2100 109th Ave, Oakland, CA 94603-4015 | 2020-09-27 |
| 1447874193 | Danielle Nicole Licht | Optometrist | 868 Walker Ave Apt 1, Oakland, CA 94610-2033 | 2020-05-28 |
| 1962043463 | Sharon Villa | Optometrist | 5859 Foothill Blvd, # 3, Oakland, CA 94605-1305 | 2019-10-05 |
| 1770049843 | Patricia Hernandez Optometric Center Inc | Optometrist | 4251 Piedmont Ave, Oakland, CA 94611-4713 | 2019-02-14 |
| 1659836872 | Orion Vision Inc. | Optometrist | 5859 Foothill Blvd Ste 3, Oakland, CA 94605-1305 | 2019-02-01 |
| 1760847040 | Vicki Hoffman | Optometrist | 5401 Fernhoff Rd, Oakland, CA 94619-3111 | 2015-12-30 |
| 1134475023 | Jessie K Lee | Optometrist | 7677 Oakport St Ste 100, Oakland, CA 94621-1939 | 2012-07-28 |
| 1316201569 | Christine Wing Wah Ng | Optometrist | 3060 E. 9th Street, Oakland, CA 94601-2925 | 2012-07-02 |
| 1730458076 | Avanti Arvind Ghanekar | Optometrist | 201 4th St Apt 503, Oakland, CA 94607-4373 | 2011-12-15 |
| 1386956308 | Elsa Pao Od Inc | Optometrist | 901 Franklin St Ste 68, Oakland, CA 94607-4476 | 2010-07-07 |
| Find all providers in OAKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.