Individual provider Active NPI

Kayla Lok Lam Fung, OD

  • Student in an Organized Health Care Education/Training Program
  • Tinley Park, IL
National Provider Identifier
1124958202
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
7208 191St St
Tinley Park, IL 60487-9378
Phone
(815) 464-0668
NPI assigned
May 21, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X IL Primary

Addresses

Primary practice location

7208 191St St
Tinley Park, IL 60487-9378

Mailing address

7208 191St St
Tinley Park, IL 60487-9378
Phone (815) 464-0668

Other practice location 1

4313 S Pulaski Rd
Chicago, IL 60632-4008
Phone (773) 847-1911

Other practice location 2

9644 S Western Ave
Evergreen Park, IL 60805-2803
Phone (708) 422-7519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc Past Accepting new patients

Organizations & group practices 1

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": "1779321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1124958202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7208 191ST ST",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604879378",
            "telephone_number": "815-464-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7208 191ST ST",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604879378",
            "telephone_number": "815-464-0668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4313 S Pulaski Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606324008",
            "country_code": "US",
            "telephone_number": "773-847-1911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9644 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Evergreen Park",
            "state": "IL",
            "postal_code": "608052803",
            "country_code": "US",
            "telephone_number": "708-422-7519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNG",
        "first_name": "KAYLA",
        "middle_name": "LOK LAM",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

Verify at the official NPI Registry.