Active NPI
Keener Lam
- Optician
- Concord, MA
National Provider Identifier
1396120309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 5057
- Practice address
- 330 Baker Ave
Concord, MA 01742-2129 - Phone
- (978) 287-9498
- Fax
- (978) 287-9453
- NPI assigned
- Jul 21, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 5057 | MA | Primary |
Addresses
Primary practice location
330 Baker Ave
Concord, MA 01742-2129
Mailing address
330 Baker Ave
Concord, MA 01742-2129
Phone (978) 287-9498
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438300800000",
"number": "1396120309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 BAKER AVE",
"city": "CONCORD",
"state": "MA",
"postal_code": "017422129",
"telephone_number": "978-287-9498",
"fax_number": "978-287-9453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 BAKER AVE",
"city": "CONCORD",
"state": "MA",
"postal_code": "017422129",
"telephone_number": "978-287-9498",
"fax_number": "978-287-9453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "KEENER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-21",
"last_updated": "2015-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "MA",
"license": "5057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.