Individual provider Active NPI

Helen Lam, OD

  • Optometrist
  • San Leandro, CA
National Provider Identifier
1699348607
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34837 Issued in CA
Practice address
1332 E 14TH St
San Leandro, CA 94577-4714
Phone
(510) 372-2900
Fax
(510) 614-2220
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009460 NY
Optometrist 152W00000X 34837 CA Primary

Addresses

Primary practice location

1332 E 14TH St
San Leandro, CA 94577-4714

Mailing address

1332 E 14TH St
San Leandro, CA 94577-4714
Phone (917) 215-3213

Other practice location 1

3330 Grand Ave
Oakland, CA 94610-2737
Phone (510) 832-3162

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
I20210830003186 CA Practitioner - Optometry 5890191894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flores Optometry IncGroup PAC ID 7911194881, 3 clinicians
Angela Cheung OD Optometric CorporationGroup PAC ID 4981089430, 5 clinicians

Practice addresses (Care Compare)

1332 E 14TH St
San Leandro, CA 94577-4714
Phone (510) 614-2020

3330 Grand Ave
Oakland, CA 94610-2737
Phone (510) 832-3162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009460NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Angela Cheung OD Optometric Corporation Optometrist CurrentSince Oct 21, 2023 Accepting new patients
Flores Optometry Inc Optometrist CurrentSince Oct 21, 2023 Accepting new patients

Locations

3330 Grand Ave
Oakland, CA 94610
Phone (510) 832-3162

1332 E 14th St
San Leandro, CA 94577
Phone (510) 372-2900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1699348607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 E 14TH ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774714",
            "telephone_number": "917-215-3213",
            "fax_number": "510-614-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 E 14TH ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774714",
            "telephone_number": "510-372-2900",
            "fax_number": "510-614-2220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3330 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946102737",
            "country_code": "US",
            "telephone_number": "510-832-3162",
            "fax_number": "510-832-3171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAM",
        "first_name": "HELEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009460",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.