Ngan Kim Huynh Lam

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC6062 Issued in FL

Practice address

200 Nocatee Village Dr
Ponte Vedra, FL 32081-5097

Phone

(904) 825-4525

Fax

(904) 825-4520

NPI assigned

Jun 9, 2021

Last updated

Mar 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, FL2 enrollments

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 2

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Florida, LLCGroup PAC ID 0143541037, 141 clinicians

St Johns Eye Associates PAGroup PAC ID 6406990605, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• St Johns Eye Associates PA

  • Optometrist
  • St Augustine, FL
  • NPI 1710185798
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Florida, LLC

  dba MyEyeDr.

  • Optometrist
  • Tallahassee, FL
  • NPI 1073907028
  Medicare reassignment Care Compare group
• All About Eyes, LLC

  • Optometrist
  • Centennial, CO
  • NPI 1912224585
  Medicare reassignment NPD
• Lisa M Hamilton, PC

  dba Active Eyes, PC

  • Optometrist
  • Littleton, CO
  • NPI 1033320361
  Medicare reassignment NPD
• St Johns Eye Associates PA

  • Optometrist
  • Jacksonville, FL
  • NPI 1609502178
  NPD
• All About Vision, LLC

  • Optician
  • Centennial, CO
  • NPI 1639509375

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1407423247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NOCATEE VILLAGE DR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320815097",
            "telephone_number": "904-825-4525",
            "fax_number": "904-825-4520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2039 Hendricks Ave Ste 213",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322073386",
            "country_code": "US",
            "telephone_number": "904-622-0844",
            "fax_number": "904-622-0886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 Hampton Point Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320923058",
            "country_code": "US",
            "telephone_number": "904-287-9137",
            "fax_number": "904-287-9057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Village Commons Dr Ste A-102",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320924547",
            "country_code": "US",
            "telephone_number": "904-530-9802",
            "fax_number": "904-530-9809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAM",
        "first_name": "NGAN KIM",
        "middle_name": "HUYNH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel King
• Toni M. Krehel, AP
• Karl Kunzi, LPC, ACS, SST
• James M Kyle, MD
• Kristen Labarbera, RPH
• Zachary Langston, PHARMD
• Nicole Lannan, APRN
• Lizelle Lapuz, PTA
• Jason W. Largen, MD
• Valerie Lois Larson

• Optometrist in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.