Active NPI
Bernice Sy-En Lim Lam, O.D.
- Optometrist
- Los Alamitos, CA
National Provider Identifier
1487882502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 13712
- Practice address
- 3801 Katella Ave
Suite 130
Los Alamitos, CA 90720-3338 - Phone
- (562) 598-7728
- NPI assigned
- Jun 26, 2009
- Last updated
- Mar 27, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 13712 | CA | Primary |
| Vision Therapy Optometrist | 152WV0400X | 13712 | CA |
Addresses
Primary practice location
3801 Katella Ave
Suite 130
Los Alamitos, CA 90720-3338
Mailing address
3801 Katella Ave
Suite 130
Los Alamitos, CA 90720-3338
Phone (562) 598-7728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13712 | CA | MD | Vision Therapy Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nika Omid, MD Inc | Current | Accepting new patients |
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": "1245974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395878400000",
"number": "1487882502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 KATELLA AVE",
"address_2": "SUITE 130",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907203338",
"telephone_number": "562-598-7728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 KATELLA AVE",
"address_2": "SUITE 130",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907203338",
"telephone_number": "562-598-7728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "BERNICE",
"middle_name": "SY-EN LIM",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-26",
"last_updated": "2014-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "13712",
"primary": true
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "CA",
"license": "13712",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Alamitos, CA
- Ky Minh Tran M D Incorporated
- L. Wayne Freeman M.D. Inc.
- L.E.C. Home Care Medical Supplies, Inc.
- Tina Marie Labok, L.AC.
- Lakewood Eye Physicians and Surgeons Inc a Medical Group (Los Alamitos Eye Physicians & Surgeons Inc)
- Veronica A Lam, MD
- Roxana Lambdin, PH.D.
- Steve Cleve Landis, DC
- Larry J. Diamond, D.D.S.
- Christine Larson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.