IndividualActive
Charlie Lin
NPI 1063004596 · Technician/Technologist · Laurel, MD
Provider details
- NPI number
- 1063004596
- Entity type
- Individual
- Primary specialty
- Technician/TechnologistEye and Vision Services Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
14800 4th St Apt 61c
Laurel, MD 20707-3756
Phone: (214) 290-2663
Approximate (ZIP-level) locationGet directions
Mailing address
14800 4th St Apt 61c
Laurel, MD 20707-3756
Registry dates
- Enumerated
- 2021-02-05
- Last updated
- 2021-02-05
- Certified
- 2021-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.