Individual provider Active NPI

Cindy Si Lam, OD

  • Optometrist
  • Sacramento, CA
National Provider Identifier
1487266920
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34637 Issued in CA
Practice address
1009 12TH St
Sacramento, CA 95814-3901
Phone
(916) 442-4927
NPI assigned
Aug 17, 2020
Last updated
Sep 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34637 CA Primary

Addresses

Primary practice location

1009 12TH St
Sacramento, CA 95814-3901

Mailing address

1009 12TH St
Sacramento, CA 95814-3901
Phone (916) 442-4927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20201106000804 CA Practitioner - Optometry 7810307626 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34637CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Huynh OD PC Optometrist CurrentSince Oct 20, 2020 Accepting new patients
Hansra Optometric Corporation CurrentSince Sep 25, 2023 Accepting new patients
Avani Patel Optometric Corporation Optometrist CurrentSince Sep 10, 2022 Accepting new patients
Tedder Optometric Corporation, PC Optometrist CurrentSince Sep 25, 2023 Accepting new patients
Kubo & Kubo, O.D.S Optometrist PastSince Oct 20, 2020 Accepting new patients
Nichole R. Moos, O.D. Inc Optometrist PastSince Aug 23, 2020 Accepting new patients

Locations

825 E Bidwell St
Ste 100
Folsom, CA 95630
Phone (279) 202-1202

4983 N Blackstone Ave
Fresno, CA 93726
Phone (510) 731-7873

23625 El Toro Rd
Ste E
Lake Forest, CA 92630
Phone (949) 227-2524

1151 Galleria Blvd
Ste 175
Roseville, CA 95678
Phone (916) 788-2960

1208 Galleria Blvd
Ste 160
Roseville, CA 95678
Phone (279) 214-0170

2409 15th St
Sacramento, CA 95818
Phone (916) 335-9655

Interoperability endpoints

  • Direct secure messaging: 117305@visionworks.emadirect.md

Organizations & group practices 6

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": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1487266920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 12TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958143901",
            "telephone_number": "916-442-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 12TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958143901",
            "telephone_number": "916-442-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "CINDY",
        "middle_name": "SI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.