Kelvin Lam, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8216TG Issued in TX

Practice address

856 E Highway 114 Ste 100
Roanoke, TX 76262-6790

Phone

(682) 237-2103

NPI assigned

Jun 22, 2013

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 TX

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Roanoke Vision Associates

  • Optometrist
  • Roanoke, TX
  • NPI 1689041634
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1371859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1265871222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 E HIGHWAY 114 STE 100",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762626790",
            "telephone_number": "682-237-2103",
            "fax_number": "682-803-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 E HIGHWAY 114 STE 100",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762626790",
            "telephone_number": "682-237-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "KELVIN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-22",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8216TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kharis Eye Care PLLC
• Kimberley a Baker, DDS, PA
• Ashleigh Kinney, LCSW
• Maombi Joselyne Kuderha
• Camille Rogers Lahue, D.D.S.
• Timothy M Lane, PH.D.
• Mark Christopher Lantzy, D. D. S.
• Samantha Lawson, M.S., CCC-SLP
• Legacy Physical Therapy and Wellness LLC
• Anna Listmann, CCC-SLP

• Optometrist in Roanoke, TX
• Providers in Roanoke, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.