Individual provider Active NPI

Sean Cuong Lam, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1306914247
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6507TG Issued in TX
Practice address
10304 Blackhawk Blvd
Ste C
Houston, TX 77089-2798
Phone
(713) 987-5555
Fax
(713) 987-5557
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6507TG TX Primary
Corneal and Contact Management Optometrist 152WC0802X 6507TG TX
Sports Vision Optometrist 152WS0006X 6507TG TX

Addresses

Primary practice location

10304 Blackhawk Blvd
Ste C
Houston, TX 77089-2798

Mailing address

10304 Blackhawk Blvd
Ste C
Houston, TX 77089-2798
Phone (713) 987-5555

Other identifiers 1

IdentifierTypeStateIssuer
1771693MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041229000268 TX Practitioner - Optometry 5597723213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10304 Blackhawk Blvd
Suite C
Houston, TX 77089-2798
Phone (713) 987-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6507TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Lam & Associates, P.a. Optometrist CurrentSince Nov 30, 2003 Accepting new patients

Locations

10304 Blackhawk Blvd
#C
Houston, TX 77089
Phone (713) 987-5555

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1306914247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10304 BLACKHAWK BLVD",
            "address_2": "STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770892798",
            "telephone_number": "713-987-5555",
            "fax_number": "713-987-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10304 BLACKHAWK BLVD",
            "address_2": "STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770892798",
            "telephone_number": "713-987-5555",
            "fax_number": "713-987-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "SEAN",
        "middle_name": "CUONG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6507TG",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "6507TG",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "TX",
            "license": "6507TG",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1771693",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.