Jesse Austin Lam, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

002430 Issued in AZ

Practice address

13371 W Grand Ave Ste 102
Surprise, AZ 85374-7063

Phone

(623) 556-8083

NPI assigned

Jun 15, 2020

Last updated

Jun 15, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sowash Optometry Group PC

  dba VisionWorks

  • Optometrist
  • Lakewood, CO
  • NPI 1336172055
  Medicare reassignment NPD
• Sowash Optometry Group, PC

  dba Visionworks

  • Eyewear Supplier
  • Denver, CO
  • NPI 1891404174

  Optometrist

  NPD
• Emergency Medical & Surgical Specialists of Colorado LLC

  • Critical Access Hospital
  • Denver, CO
  • NPI 1144669102
  NPD (past)
• Sowash Optometry Group PC

  dba Visionworks

  • Eyewear Supplier
  • Lakewood, CO
  • NPI 1083630230
  NPD (past)
• Sowash Optometry Group PC

  dba Visionworks

  • Eyewear Supplier
  • Denver, CO
  • NPI 1427074673
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1043835069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7234 W KIMBERLY WAY",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085857",
            "telephone_number": "623-628-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13371 W GRAND AVE STE 102",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747063",
            "telephone_number": "623-556-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "JESSE",
        "middle_name": "AUSTIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "002430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marni Marie Lahti, MA, MSE
• Leon Quoc Lai, PHARMD
• April Lain, M.ED, LISAC
• Donielle Laine
• Virginia Ann Lajoie, RBT
• Tinothy Patrick Lambert, M.A.
• Jonathan Lamp
• Kayla Lampert, OT
• Samantha Elizabeth Landeros
• Lily Olissa Landwehr

• Optometrist in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.