Provider Demographics
NPI:1083274740
Name:LIN, YA-CHUN (OD)
Entity Type:Individual
Prefix:DR
First Name:YA-CHUN
Middle Name:
Last Name:LIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3919 ROSE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-5751
Mailing Address - Country:US
Mailing Address - Phone:832-782-7070
Mailing Address - Fax:
Practice Address - Street 1:2055 WESTHEIMER RD STE 135
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-1555
Practice Address - Country:US
Practice Address - Phone:713-520-6600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-15
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4659ATI152W00000X
COOPT.0003814152W00000X
MN3857152W00000X
TX9688152W00000X
NV1178152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist