Active NPI
Michael Lam, O.D.
- Optometrist
- Marietta, GA
National Provider Identifier
1447619358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2884
- Practice address
- 850 Old Piedmont Rd
Marietta, GA 30066-5490 - Phone
- (770) 422-3677
- Fax
- (770) 422-5814
- NPI assigned
- Feb 19, 2016
- Last updated
- Dec 6, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | 2884 | GA | Primary |
Addresses
Primary practice location
850 Old Piedmont Rd
Marietta, GA 30066-5490
Mailing address
850 Old Piedmont Rd
Marietta, GA 30066-5490
Phone (770) 422-3677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- 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
- Southern College of Optometry, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
850 Old Piedmont Rd
Marietta, GA 30066-5490
Phone (770) 422-3677
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2884 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Old Piedmont Eye Group LLC | Optometrist | Current | Accepting new patients |
Locations
850 Old Piedmont Rd
Marietta, GA 30066
Phone (770) 422-3677
Organizations & group practices 1
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": "1455840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1447619358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 OLD PIEDMONT RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300665490",
"telephone_number": "770-422-3677",
"fax_number": "770-422-5814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 OLD PIEDMONT RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300665490",
"telephone_number": "770-422-3677",
"fax_number": "770-422-5814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "MICHAEL",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-19",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "2884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
- Lakhani Vision Care, PC
- Rakeshkumar Lakhani, O.D.
- Shivapriya Lakshmana Perumal
- Alykhan Mehboob Lalani, M.D.
- Shenila Badruddin Lallani
- Lamar Cousins, MD D/B/a Cousin & Cantrell Internal Medicine (WellStar Cousins and Cantrell, LLC)
- Melissa JB Lamarche, D.C.
- James H Lamb, D.D.S.
- Jennifer Kolos Lambert, PA-C
- Kayla Agan Lambert, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.