Individual provider Active NPI

Duy Quang Lam, O.D.

  • Optometrist
  • Cary, NC
National Provider Identifier
1407089949
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2239 Issued in NC
Practice address
720 SE Maynard Rd
Cary, NC 27511-5720
Phone
(919) 467-0959
Fax
(919) 467-5939
NPI assigned
Sep 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002295 PA
Optometrist 152W00000X 2239 NC Primary

Addresses

Primary practice location

720 SE Maynard Rd
Cary, NC 27511-5720

Mailing address

1726 Metromedical Dr
Fayetteville, NC 28304-3861
Phone (910) 484-2284

Other practice location 1

3551 Dunn Rd
Suite 103
Eastover, NC 28312-8794
Phone (910) 484-2284

Other practice location 2

1225 Carthage St
Sanford, NC 27330-8984
Phone (919) 774-3556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20130409000001 NC Practitioner - Optometry 3173769569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecarecenter OD PAGroup PAC ID 7315834462, 71 clinicians

Practice addresses (Care Compare)

1225 Carthage St
Sanford, NC 27330-8984
Phone (919) 774-3556

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002295PAMDOptometrist
2239NCMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecarecenter OD PA Optometrist CurrentSince Jan 23, 2019 Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Jan 23, 2019 Accepting new patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
C.V. Sikes,Jr. & R.B. Gotschalk PTR Optometrist Past Accepting new patients

Locations

720 SE Maynard Rd
Cary, NC 27511
Phone (919) 467-0959

119 E Hargett St
Raleigh, NC 27601
Phone (919) 856-8555

819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020

1225 Carthage St
Sanford, NC 27330
Phone (919) 774-3556

Interoperability endpoints

  • Direct secure messaging: duylam@direct.eyecare-partners.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1407089949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 METROMEDICAL DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043861",
            "telephone_number": "910-484-2284",
            "fax_number": "910-484-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SE MAYNARD RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115720",
            "telephone_number": "919-467-0959",
            "fax_number": "919-467-5939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3551 Dunn Rd",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Eastover",
            "state": "NC",
            "postal_code": "283128794",
            "country_code": "US",
            "telephone_number": "910-484-2284",
            "fax_number": "910-484-1673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 Carthage St",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273308984",
            "country_code": "US",
            "telephone_number": "919-774-3556",
            "fax_number": "919-774-7356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAM",
        "first_name": "DUY",
        "middle_name": "QUANG",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-01",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002295",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.