Active NPI
Phu Minh Huynh Lam, O.D.
- Optometrist
- Tucson, AZ
National Provider Identifier
1013327972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1974
- Practice address
- 1225 W Irvington Rd
Target Optical
Tucson, AZ 85714-1167 - Phone
- (520) 295-3669
- Fax
- (520) 295-3703
- NPI assigned
- Apr 30, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1974 | AZ | Primary |
Addresses
Primary practice location
1225 W Irvington Rd
Target Optical
Tucson, AZ 85714-1167
Mailing address
1225 W Irvington Rd
Target Optical
Tucson, AZ 85714-1167
Phone (520) 295-3669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1974 | AZ | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398816000000",
"number": "1013327972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 W IRVINGTON RD",
"address_2": "TARGET OPTICAL",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857141167",
"telephone_number": "520-295-3669",
"fax_number": "520-295-3703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 W IRVINGTON RD",
"address_2": "TARGET OPTICAL",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857141167",
"telephone_number": "520-295-3669",
"fax_number": "520-295-3703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "PHU",
"middle_name": "MINH HUYNH",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-30",
"last_updated": "2014-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "1974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.