Active NPI
Anita S Lam, O.D.
- Optometrist
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD00003728
- Practice address
- 1455 NW Leary Way
Suite 300
Seattle, WA 98107-5124 - Phone
- (206) 784-3350
- Fax
- (206) 781-8693
- NPI assigned
- Dec 22, 2005
- Last updated
- Apr 23, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD00003728 | WA | Primary |
Addresses
Primary practice location
1455 NW Leary Way
Suite 300
Seattle, WA 98107-5124
Mailing address
1101 Madison St
Suite 600
Seattle, WA 98104-1306
Phone (206) 215-2004
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0187378 | Other | WA | LABOR & INDUSTRIES |
| 2029080 | Medicaid | WA | |
| 8647LA | Other | REGENCE HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Madison St
Suite 600
Seattle, WA 98104-3501
Phone (206) 215-2020
1455 NW Leary Way
Suite 300
Seattle, WA 98107-5138
Phone (206) 784-3350
34719 6TH Ave S
Federal Way, WA 98003-8714
Phone (206) 212-2100
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.62 of 100
- Quality
- 85.07
- Improvement activities
- 40
- Cost
- 76.1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evergreen Eye Center, PLLC | Current | Accepting new patients | |
| Evergreen Eye Center, PLLC | Optometrist | Current | Accepting new patients |
| Evergreen Eye Center, PLLC | Optometrist | Current | Accepting new patients |
| Eye Associates Northwest, PLLC | Current | Accepting new patients | |
| Evergreen Eye Center, PLLC | Past | Accepting new patients | |
| 310 Vision | Past | Accepting new patients | |
| Evergreen Eye Center, PLLC | Past | Accepting new patients |
Locations
34719 6th Ave S
Federal Way, WA 98003
Phone (206) 212-2100
1101 Madison St
Ste 600
Seattle, WA 98104
Phone (206) 215-2004
1455 NW Leary Way
Ste 300
Seattle, WA 98107
Phone (206) 784-3350
5300 17th Ave NW
Seattle, WA 98107
Phone (206) 783-3929
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Evergreen Eye Center
- Ophthalmology Physician
- Federal Way, WA
- NPI 1700959293
Optometrist
-
dba Eye Associates Northwest
- Ophthalmology Physician
- Seattle, WA
- NPI 1811952815
-
dba Eye Associates Northwest Surgery Center
- Ambulatory Surgical Clinic/Center
- Seattle, WA
- NPI 1184689408
-
dba Evergreen Eye Center
- Ophthalmology Physician
- Burien, WA
- NPI 1538238043
Optometrist
-
dba Eye Associates Northwest, PLLC
- Ophthalmology Physician
- Seattle, WA
- NPI 1275387995
-
dba Evergreen Eye Surgery Center
- Ambulatory Surgical Clinic/Center
- Federal Way, WA
- NPI 1821167479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398211200000",
"number": "1417933250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 MADISON ST",
"address_2": "SUITE 600",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981041306",
"telephone_number": "206-215-2004",
"fax_number": "206-215-2055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 NW LEARY WAY",
"address_2": "SUITE 300",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981075124",
"telephone_number": "206-784-3350",
"fax_number": "206-781-8693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "ANITA",
"middle_name": "S",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-22",
"last_updated": "2014-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD00003728",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "0187378",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2029080",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE HEALTHCARE",
"identifier": "8647LA",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.