Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 9036T | CA |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 9036T | CA |
N | 152WP0200X | Pediatric Optomitrist | 9036T | CA |
NPI | 1316979487 |
---|---|
Provider Name | Dr. Susan T R Lin |
First Address | Oakland, CA 94618 |
Second Address | Oakland, CA 94618 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 21/04/2014 |