Connie Lam, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34491TLG Issued in CA

Practice address

13200 Jamboree Rd
Irvine, CA 92602-2307

Phone

(714) 505-2030

NPI assigned

Oct 29, 2019

Sex

Female

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 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

Specialty

Optometry

Education

Southern California College of Optometry, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Royal Optometry IncGroup PAC ID 6103990452, 2 clinicians

Practice addresses (Care Compare)

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.

• Royal Optometry, Inc.

  • Optometrist
  • Buena Park, CA
  • NPI 1801001854
  Medicare reassignment Care Compare group NPD
• Isight Vision Care, Inc

  dba iSight Vision Care

  • Ophthalmology Physician
  • Fountain Valley, CA
  • NPI 1417279399
  NPD (past)

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1326682840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13200 JAMBOREE RD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926022307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13200 JAMBOREE RD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926022307",
            "telephone_number": "714-505-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "CONNIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34491TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Lake
• Kimberley Dawn Lakes, PHD
• Pravina Leah Lal, LCSW
• Sharleen Lal
• Jennie-Ann Lalanne
• Esther Geinghui Lam, DDS
• Frances Lam, L.AC.
• Giang Lam, PHARM.D.
• Larry Tsan Lam, PHARM.D.
• Lien Lam, PA-C

• Optometrist in Irvine, CA
• Providers in Irvine, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.