Individual provider Active NPI

Theresa Lam, O.D.

  • Optometrist
  • Boston, MA
National Provider Identifier
1326591801
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5400 Issued in MA
Practice address
7 Allstate Rd
Boston, MA 02125-1663
Phone
(617) 512-1033
NPI assigned
Aug 1, 2016
Last updated
Jan 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002727 VA
Optometrist 152W00000X TUV008411 NY
Optometrist 152W00000X 5400 MA Primary

Addresses

Primary practice location

7 Allstate Rd
Boston, MA 02125-1663

Mailing address

7 Allstate Rd
Boston, MA 02125-1663
Phone (617) 512-1033

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
I20210106001670 MA Practitioner - Optometry 0042553885 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5400MAMDMental Health Counselor
TUV008411NYMDOptometrist
0618002727VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Exeter Eye Associates, LLC Optometrist CurrentSince Sep 1, 2020 Accepting new patients
Lam Family Eyecare, PLLC Optometrist Current Accepting new patients

Locations

37 Newbury St
Boston, MA 02116
Phone (617) 437-1070

7 Allstate Rd
Dorchester, MA 02125
Phone (508) 661-9532

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1326591801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ALLSTATE RD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021251663",
            "telephone_number": "617-512-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ALLSTATE RD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021251663",
            "telephone_number": "617-512-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "THERESA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-01",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002727",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008411",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.