Lin, Jerry T
Lin, Jerry T is an individual health care provider with primary practice located at 630 N Rose Dr , Placentia CA 92870-7513. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lin, Jerry T can be contacted via phone (714) 524-6688.Contact Information
Primary practice address
630 N Rose Dr
Placentia CA 92870-7513
Phone: (714) 524-6688
Fax: (714) 524-7678
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 11077T | California |
Profile Details
| NPI number | 1710022686 |
|---|---|
| LBN Legal business name | Lin, Jerry T |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2007 |
| 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 | 1710022686 | NPPES |
| California | MEDICAID | SD0110770 |
Popular Providers
-
Keplinger, Brian Leigh
15 Grandview Dr Ste D, Frankfort KY 40601-3235 -
Brudner, Peter N.
425 W Central Ave , Lompoc CA 93436-2805 -
Swearingen, Michael
1201 N Rose Dr Suite 100, Placentia CA 92870-3939 -
Chun, Jennie W
1874 N Placentia Ave , Placentia CA 92870 -
Chun, Randall R
1874 N Placentia Ave , Placentia CA 92870 -
Decarlo, Michael P
1428 N Kraemer Blvd , Placentia CA 92870 -
Roth, Reed T
28370 Kensington Ln Suite A, Perrysburg OH 43551-4163 -
Shinen, Tammy Chang
1201 N Rose Dr Ste 100 , Placentia CA 92870-3939