DR. IVY LIN (O.D.) – Optometrist, NPI 1255325809

DR. IVY LIN (O.D.) is a healthcare provider. based in Whittier, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 12327T (CA). The NPI Number for DR. IVY LIN (O.D.) is 1255325809

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. IVY LIN (O.D.)
NPI
1255325809
Phone
Not provided
Address
11245 WASHINGTON BLVD
Enumeration Date
8 September 2005
Last Update Date
23 June 2016

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5626921208
Graduation Year
2003 (23 years ago)
PAC ID
1557360971
Group Practice PAC ID
2961667399
Professional Enrollment ID
I20061213000277
Address ID
CA906063111WH11245BLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,935 OPTOMETRY in CA

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Provider Addresses for DR. IVY LIN (O.D.)

  • Washington Boulevard, Whittier, Los Angeles County, California, 90602, United States

    WHITTIER, CA 906063111

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $369.

Total Amount is formed as General ($369) + Research ($0) + Ownership ($0) = $369.

Last reported payment date: 2024-06-24 • Largest payer in this snapshot: Alcon Vision LLC ($149).

Total Amount

$369

General + Research + Ownership

Payments

5

Total payment records

General Amount

$369

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-12-13

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061213000277IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 90606)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961667399View full group profile
NameSpecialtyState
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA

Reviews

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Frequently asked questions

What identifier follows DR. IVY LIN (O.D.) across health systems?
The NPI 1255325809 uniquely identifies DR. IVY LIN (O.D.) in U.S. healthcare data.
Quick check: is DR. IVY LIN (O.D.) active?
Public NPPES data shows DR. IVY LIN (O.D.) with an active NPI status right now.
Which specialty label fits DR. IVY LIN (O.D.)?
NPPES ties DR. IVY LIN (O.D.) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. IVY LIN (O.D.)?
DR. IVY LIN (O.D.) is associated with Whittier, California in the same public data insurers reference.
Can I export DR. IVY LIN (O.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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