Individual provider Active NPI

Connie Lam, OD

  • Optometrist
  • Margate City, NJ
National Provider Identifier
1629806781
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00741100 Issued in NJ
Practice address
9701 Ventnor Ave Ste 201
Margate City, NJ 08402-2222
Phone
(609) 822-4242
Fax
(609) 822-3211
NPI assigned
Jul 22, 2024
Last updated
Oct 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OM00209300 NJ
Optometrist 152W00000X 27OA00741100 NJ Primary
Optometrist 152W00000X 011337 NY

Addresses

Primary practice location

9701 Ventnor Ave Ste 201
Margate City, NJ 08402-2222

Mailing address

9701 Ventnor Ave Ste 201
Margate City, NJ 08402-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20260423000161 NJ Practitioner - Optometry 7810464229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Eye Care PAGroup PAC ID 4082618764, 15 clinicians

Practice addresses (Care Compare)

9701 Ventnor Ave
Margate, NJ 08402-2222
Phone (609) 822-4242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OM00209300NJMDOptometrist
011337NYMDOptometrist

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": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792713600000",
    "number": "1629806781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 VENTNOR AVE STE 201",
            "city": "MARGATE CITY",
            "state": "NJ",
            "postal_code": "084022222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 VENTNOR AVE STE 201",
            "city": "MARGATE CITY",
            "state": "NJ",
            "postal_code": "084022222",
            "telephone_number": "609-822-4242",
            "fax_number": "609-822-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "CONNIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OM00209300",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00741100",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011337",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate City, NJ

Sources for this page

Verify at the official NPI Registry.