KAMMY LIN OD - NPI 1083407951 - Optometrist in Peoria, IL

Q: What is Kammy Lin's NPI number?

The NPI number for Kammy Lin is 1083407951. It was assigned to this individual provider in the NPPES registry on May 23, 2025.

Q: What is Kammy Lin's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kammy Lin was last updated on May 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kammy Lin Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAMMY LIN OD (NPI 1083407951) is an individual optometrist in Peoria, Illinois, licensed in Illinois (PENDING) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2025).

NPPES Registry Identity

NPI1083407951

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameKAMMY LINCredential: OD

Location Address8921 N WOOD SAGE RDPeoria, IL 61615-7822

Mailing Address8921 N Wood Sage RdPeoria, IL 61615-7822 · (800) 872-4651 · Fax (309) 243-7918

Phone(309) 243-2400

Fax(309) 243-7918

Sole ProprietorNo

Medical School CMSSouthern College Of OptometryGraduated 2025

Enumeration DateMay 23, 2025

NPPES CertifiedMay 23, 2025

✔ NPI 1083407951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in IL · PENDING

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

8921 N WOOD SAGE RD, Peoria, IL 61615

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kammy Lin Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385147768

PECOS Enrollment IDI20250911003036

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61615 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLIN J SCOTT MD

Ophthalmology