Individual provider Active NPI

Peter Lam, MD

  • Ophthalmology Physician
  • Victoria, TX
National Provider Identifier
1346624111
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
T1758 Issued in TX
Practice address
107 James Coleman Dr
Victoria, TX 77904-3100
Phone
(361) 578-0234
Fax
(361) 580-3168
NPI assigned
Jul 11, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A168102 CA
Ophthalmology Physician 207W00000X T1758 TX Primary

Addresses

Primary practice location

107 James Coleman Dr
Victoria, TX 77904-3100

Mailing address

107 James Coleman Dr
Victoria, TX 77904-3100
Phone (361) 578-0234

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address peter.lam@direct.usc.edu Direct USC CARE MEDICAL GROUP, INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200514002424 CA Practitioner - Ophthalmology 0941593941 Reassigns benefits to 1 organization
I20210624001011 TX Practitioner - Ophthalmology 0941593941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Victoria Eye Center PAGroup PAC ID 8921025016, 11 clinicians

Practice addresses (Care Compare)

107 James Coleman Dr
Victoria, TX 77904-3100
Phone (361) 578-0234

Hospital & facility affiliations

  • Memorial Medical Center Hospital, Port Lavaca, TX, CCN 451356

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery729

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A168102CAMDOphthalmology Physician
T1758TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Care Medical Group, Inc Ophthalmology CurrentSince Jun 7, 2020 Accepting new patients
Victoria Eye Center PA Ophthalmology CurrentSince Aug 16, 2021 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jun 7, 2020 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

1450 San Pablo St
Fl 4
Los Angeles, CA 90033
Phone (323) 442-6335

225 Calhoun Plz
Ste 13
Port Lavaca, TX 77979
Phone (361) 552-1281

107 James Coleman Dr
Victoria, TX 77904
Phone (361) 578-0234

105 James Coleman Dr
Victoria, TX 77904
Phone (361) 578-0234

Interoperability endpoints

  • Direct secure messaging: peter.lam.p1@direct.victoriaeyecenter.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: peter.lam@direct.usc.edu

Organizations & group practices 4

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.

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": "1436572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1346624111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 JAMES COLEMAN DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043100",
            "telephone_number": "361-578-0234",
            "fax_number": "361-580-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 JAMES COLEMAN DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043100",
            "telephone_number": "361-578-0234",
            "fax_number": "361-580-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-11",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A168102",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "T1758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peter.lam@direct.usc.edu",
            "affiliation": "Y",
            "affiliationName": "USC CARE MEDICAL GROUP, INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1450 San Pablo St Fl 4",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900335331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.