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NPI Code Detail

MEDICARE: WONCHON LIN, M.D., PLLC

MEDICARE: WONCHON LIN, M.D., PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207WX0120XCornea and External Diseases Specialist Physician
2207W00000XOphthalmology Physician

General Provider Information

NPI Number : 1902443542
Entity Type Code : Organization
Provider Name (Legal Business Name) : WONCHON LIN, M.D., PLLC
Provider Business Mailing Address
First Line : 4974 S RAINBOW BLVD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-1413
Country : US
Telephone Number : 702-570-2820
Fax Number : 831-604-0306
Provider Business Practice Location Address
First Line : 4974 S RAINBOW BLVD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-1413
Country : US
Telephone Number : 702-570-2820
Fax Number : 831-604-0306
Authorized Official
Title or Position : MANAGER
Name : WONCHON LIN
Credential : MD
Telephone Number : 702-570-2820
Provider Enumeration Date : 12/03/2019
Last Update Date : 07/06/2025

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