Individual provider Active NPI

Jeannette Lam, OD

  • Optometrist
  • Boston, MA
National Provider Identifier
1295466589
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5649 Issued in MA
Practice address
31 Saint James Ave
Boston, MA 02116-4101
Phone
(617) 936-4027
NPI assigned
Jun 18, 2022
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5649 MA Primary

Addresses

Primary practice location

31 Saint James Ave
Boston, MA 02116-4101

Mailing address

31 Saint James Ave
Boston, MA 02116-4101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20240624004353 MA Practitioner - Optometry 4880137462 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Zachary Jost OD Inc PCGroup PAC ID 7719354216, 2 clinicians
New England Eye Institute IncGroup PAC ID 1850294125, 23 clinicians

Practice addresses (Care Compare)

31 Saint James Ave
Suite 135
Boston, MA 02116-4101
Phone (617) 936-4027

330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 667-2000

4199 Washington St
Roslindale, MA 02131-1733
Phone (617) 323-7300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5649MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Zachary Jost II, PC Optometrist CurrentSince Apr 1, 2025 Accepting new patients
Zachary Jost OD Inc PC Optometrist CurrentSince Apr 1, 2025 Accepting new patients
New England Eye Institute Inc. Optometrist CurrentSince Jul 1, 2025 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince May 18, 2024 Accepting new patients
Gail S Marchetto OD LLC Optometrist CurrentSince Apr 1, 2025 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince May 18, 2024 Accepting new patients
GSM Park Square, LLC Optometrist CurrentSince Apr 1, 2025 Accepting new patients

Locations

31 Saint James Ave
Ste 135
Boston, MA 02116
Phone (617) 936-4027

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

330 Brookline Ave
#5
Boston, MA 02215
Phone (617) 667-3391

930 Commonwealth Ave
Boston, MA 02215
Phone (617) 262-2020

4199 Washington St
Roslindale, MA 02131
Phone (617) 323-4440

1132 Main St
Weymouth, MA 02190
Phone (781) 878-2300

Interoperability endpoints

  • Direct secure messaging: jlam334414@direct.bilh.masshiway.net

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1655510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1295466589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SAINT JAMES AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021164101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SAINT JAMES AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021164101",
            "telephone_number": "617-936-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "JEANNETTE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-18",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.