Lin, Jeannie Wong
Lin, Jeannie Wong is an individual health care provider with primary practice located at 491 30 St Ste 101, Oakland CA 94609. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Lin, Jeannie Wong can be contacted via phone (516) 444-0603.Contact Information
Primary practice address
491 30 St Ste 101
Oakland CA 94609
Phone: (516) 444-0603
Fax: (510) 872-3119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT11238 | California |
Profile Details
| NPI number | 1154395713 |
|---|---|
| LBN Legal business name | Lin, Jeannie Wong |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1154395713 | NPPES |
| California | MEDICAID | S70112780 |
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