Individual provider Active NPI

Aimee Nguyen Lam, M.D.

  • Ophthalmology Physician
  • Puyallup, WA
National Provider Identifier
1063755791
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD61038945 Issued in WA
Practice address
1703 S Meridian Ste 100
Puyallup, WA 98371-7590
Phone
(253) 848-3000
Fax
(253) 845-8750
NPI assigned
Apr 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D84726 MD
Ophthalmology Physician 207W00000X MD463596 PA
Ophthalmology Physician 207W00000X R3547 TX
Ophthalmology Physician 207W00000X MD61038945 WA Primary

Addresses

Primary practice location

1703 S Meridian Ste 100
Puyallup, WA 98371-7590

Mailing address

1703 S Meridian Ste 101
Puyallup, WA 98371-7590
Phone (253) 848-3000

Other practice location 1

8300 Floyd Curl Dr Fl 6
San Antonio, TX 78229-3931
Phone (210) 450-9400

Other practice location 2

701 S Zarzamora St Fl 2
San Antonio, TX 78207-5209
Phone (210) 358-7000

Other practice location 3

2411 W Belvedere Ave Fl 6
Baltimore, MD 21215-5228
Phone (410) 601-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200512000256 WA Practitioner - OphthalmologyPractitioner - Other (Physician) 7416229281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Southwestern Medical School at Dallas, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cascade Eye and Skin Centers PCGroup PAC ID 4486541554, 47 clinicians

Practice addresses (Care Compare)

5225 Cirque Dr W
University Place, WA 98467-3638
Phone (253) 564-3365

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD463596PAMDOphthalmology Physician
R3547TXMDOphthalmology Physician
MD61038945WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Eye & Skin Centers P.C. Ophthalmology CurrentSince Jun 1, 2020 Accepting new patients
Cascade Eye & Skin Centers PC Ophthalmology CurrentSince Jun 1, 2020 Accepting new patients
University of Texas Health Science Center at San Antonio Past Accepting new patients

Locations

205 10th St NE
Ste 119
Auburn, WA 98002
Phone (253) 939-7911

10004 204th Ave E
Ste 1500
Bonney Lake, WA 98391

4907 Point Fosdick Dr
Ste E700
Gig Harbor, WA 98335

1703 S Meridian
Ste 101
Puyallup, WA 98371
Phone (253) 770-7708

11216 Sunrise Blvd E
Ste 3
Puyallup, WA 98374
Phone (253) 445-2385

1703 S Meridian
Ste 201
Puyallup, WA 98371
Phone (253) 770-7708

1703 S Meridian
Ste 100
Puyallup, WA 98371

5225 Cirque Dr W
University Place, WA 98467
Phone (253) 564-3365

5225 Cirque Dr W
Ste 200
University Place, WA 98467
Phone (253) 564-3365

Interoperability endpoints

  • Direct secure messaging: a.lam@cascade.emadirect.md

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1063755791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 S MERIDIAN STE 101",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983717590",
            "telephone_number": "253-848-3000",
            "fax_number": "253-840-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 S MERIDIAN STE 100",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983717590",
            "telephone_number": "253-848-3000",
            "fax_number": "253-845-8750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8300 Floyd Curl Dr Fl 6",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293931",
            "country_code": "US",
            "telephone_number": "210-450-9400",
            "fax_number": "210-450-6024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 S Zarzamora St Fl 2",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782075209",
            "country_code": "US",
            "telephone_number": "210-358-7000",
            "fax_number": "210-358-7405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2411 W Belvedere Ave Fl 6",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212155228",
            "country_code": "US",
            "telephone_number": "410-601-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAM",
        "first_name": "AIMEE",
        "middle_name": "NGUYEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D84726",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD463596",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "R3547",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD61038945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.