Individual provider Active NPI

Anna Lam, O.D.

  • Optometrist
  • Oakland, CA
National Provider Identifier
1306221890
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15389 Issued in CA
Practice address
1960 Broadway
Oakland, CA 94612
Phone
(510) 893-5566
NPI assigned
Jul 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 15389 CA Primary

Addresses

Primary practice location

1960 Broadway
Oakland, CA 94612

Mailing address

1960 Broadway
Oakland, CA 94612-2296
Phone (510) 893-5566

Other practice location 1

1960 Broadway
Oakland, CA 94612
Phone (510) 893-5566

Other practice location 2

1811 University Dr
Suite 102
Vista, CA 92083-7774
Phone (760) 945-9849

Other practice location 3

1844 Divisadero St
San Francisco, CA 94115-2517
Phone (415) 409-0888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20151002000643 CA Practitioner - Optometry 2769790252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Angela Cheung OD Optometric CorporationGroup PAC ID 4981089430, 5 clinicians

Practice addresses (Care Compare)

3330 Grand Ave
Oakland, CA 94610-2737
Phone (510) 832-3162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Angela Cheung OD Optometric Corporation Optometrist CurrentSince Oct 1, 2024 Accepting new patients
Amy Thich, O.D., a Professional Corporation Optometrist Past Accepting new patients
Oakland Vision Center Optometrist PastSince Sep 25, 2019 Accepting new patients

Locations

3330 Grand Ave
Oakland, CA 94610
Phone (510) 832-3162

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": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1306221890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122296",
            "telephone_number": "510-893-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94612",
            "telephone_number": "510-893-5566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1960 Broadway",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "94612",
            "country_code": "US",
            "telephone_number": "510-893-5566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1811 University Dr",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920837774",
            "country_code": "US",
            "telephone_number": "760-945-9849",
            "fax_number": "760-945-9903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1844 Divisadero St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941152517",
            "country_code": "US",
            "telephone_number": "415-409-0888",
            "fax_number": "866-864-6038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAM",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-24",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.