Individual provider Active NPI

Mei San Lam, O.D.

  • Optometrist
  • Wichita Falls, TX
National Provider Identifier
1356774392
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8299T Issued in TX
Practice address
4206 Kemp Blvd
Ste. B
Wichita Falls, TX 76308-2845
Phone
(940) 696-2653
NPI assigned
Aug 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8299T TX Primary

Addresses

Primary practice location

4206 Kemp Blvd
Ste. B
Wichita Falls, TX 76308-2845

Mailing address

4206 Kemp Blvd
Ste. B
Wichita Falls, TX 76308-2845
Phone (940) 696-2653

Other names 1

  • Mei San Lam Other name

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
I20131122001627 TX Practitioner - Optometry 1153557004 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Eye Group of Texas, LLCGroup PAC ID 7012096928, 5 clinicians
DRCS Group, Inc.Group PAC ID 4880871516, 6 clinicians

Practice addresses (Care Compare)

3105 E Southlake Boulevard
Southlake, TX 76092-8051
Phone (817) 310-3989

4631 S Hulen St
Fort Worth, TX 76132-1401
Phone (817) 346-7077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8299TXMDChiropractor
8299TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Eyecare, P.a. Optometrist CurrentSince Jan 15, 2015 Accepting new patients
Martin, Wedel & Bullard, P.C. Optometrist CurrentSince Sep 3, 2019 Accepting new patients
The Eye Group of Texas LLC Optometrist CurrentSince Nov 1, 2021 Accepting new patients
Martin, Wedel & Bullard, P.C. Optometrist CurrentSince Sep 3, 2019 Accepting new patients
Eyeworks at West 7TH Optometrist CurrentSince Nov 1, 2021 Accepting new patients
DRCS Group, Inc. Optometrist CurrentSince Nov 1, 2021 Accepting new patients
Tom F. Sheriff, P.a. Optometrist Past Accepting new patients

Locations

839 N Nolan River Rd
Cleburne, TX 76033
Phone (817) 645-2411

4631 S Hulen St
Ft Worth, TX 76132
Phone (817) 346-7077

3017 W 7th St
Ste 210
Ft Worth, TX 76107
Phone (817) 346-7077

4460 E Highway 287
Ste A
Midlothian, TX 76065
Phone (972) 775-8000

3105 E Southlake Blvd
Southlake, TX 76092
Phone (817) 310-3989

4206 Kemp Blvd
Ste B
Wichita Falls, TX 76308
Phone (940) 696-2653

Organizations & group practices 7

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": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1356774392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 KEMP BLVD",
            "address_2": "STE. B",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082845",
            "telephone_number": "940-696-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 KEMP BLVD",
            "address_2": "STE. B",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082845",
            "telephone_number": "940-696-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "MEI",
        "middle_name": "SAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8299T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEI SAN",
            "last_name": "LAM",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.