Lin, Ivy
Lin, Ivy is an individual health care provider with primary practice located at 11245 Washington Blvd , Whittier CA 90606-3111. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Lin, Ivy can be contacted via phone (562) 692-1208.Contact Information
Primary practice address
11245 Washington Blvd
Whittier CA 90606-3111
Phone: (562) 692-1208
Fax: (562) 695-6386
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 12327T | California |
Profile Details
| NPI number | 1255325809 |
|---|---|
| LBN Legal business name | Lin, Ivy |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Jun 23rd, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255325809 | NPPES |
| California | MEDICAID | SD0123270 |
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