Individual provider Active NPI

Phu VI Lam, O.D.

  • Optometrist
  • Alhambra, CA
National Provider Identifier
1386796704
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT12725 Issued in CA
Practice address
349 E Main St Ste 103
Alhambra, CA 91801-7909
Phone
(626) 573-9336
Fax
(626) 573-0933
NPI assigned
Jan 17, 2007
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT12725 CA Primary

Addresses

Primary practice location

349 E Main St Ste 103
Alhambra, CA 91801-7909

Mailing address

349 E Main St Ste 103
Alhambra, CA 91801-7909
Phone (626) 573-9336

Other identifiers 1

IdentifierTypeStateIssuer
6783439MedicaidCA

Other names 1

  • Dr. Scott VI Lam Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200602002871 CA Practitioner - Optometry 8224114178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12725CAMDOrthopedic Chiropractor
12725TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Monterey Park Optometry, Inc Optometrist CurrentSince Mar 1, 2020 Accepting new patients
New Look Family Optometry, Inc Optometrist PastSince Aug 1, 2007 Accepting new patients

Locations

349 E Main St
Ste 103
Alhambra, CA 91801
Phone (626) 573-9336

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1386796704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 E MAIN ST STE 103",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918017909",
            "telephone_number": "626-573-9336",
            "fax_number": "626-573-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 E MAIN ST STE 103",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918017909",
            "telephone_number": "626-573-9336",
            "fax_number": "626-573-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "PHU",
        "middle_name": "VI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT12725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6783439",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCOTT",
            "last_name": "LAM",
            "middle_name": "VI",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.