Organization Active NPI

Verissa Lam Optometry Corporation

  • Optometrist
  • San Francisco, CA
National Provider Identifier
1679218671
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VERISSA LAM OPTOMETRY CORPORATION
Practice address
100 Battery St
San Francisco, CA 94111-4903
Phone
(415) 399-1773
Fax
(415) 335-4373
NPI assigned
May 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Authorized official

Name
Verrissa Lam Fong, OD
Title
President
Phone
(415) 399-1773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

100 Battery St
San Francisco, CA 94111-4903

Mailing address

100 Battery St
San Francisco, CA 94111-4903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220620000231 CA Part B Supplier - Clinic/Group Practice 9133508377 Receives reassigned benefits from 5 practitioners
Practice locations: Palo Alto, CA; San Francisco, CA

National Provider Directory

National Provider Directory

Locations

100 Battery St
San Francisco, CA 94111
Phone (415) 399-1473

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1679218671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BATTERY ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941114903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BATTERY ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941114903",
            "telephone_number": "415-399-1773",
            "fax_number": "415-335-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERISSA LAM OPTOMETRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "VERRISSA",
        "authorized_official_middle_name": "LAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-399-1773",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.