Provider Demographics
NPI:1396180600
Name:LIN, MENG CHING (OD)
Entity Type:Individual
Prefix:DR
First Name:MENG
Middle Name:CHING
Last Name:LIN
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:110A MINOR ADDITION SCHOOL OF OPTOMETRY CRC
Mailing Address - Street 2:UNIVERSITY OF CALIFORNIA BERKELEY
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94720-2020
Mailing Address - Country:US
Mailing Address - Phone:510-643-9252
Mailing Address - Fax:510-642-9734
Practice Address - Street 1:110A MINOR ADDITION SCHOOL OF OPTOMETRY CRC
Practice Address - Street 2:110A MINOR ADDITION, SCHOOL OF OPTOMETRY, CRC
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94720-2020
Practice Address - Country:US
Practice Address - Phone:510-643-9252
Practice Address - Fax:510-642-9734
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-01
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAOPT10980TPA152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist