Active NPI
Teresa Lam OD PLLC
- Optometrist
- Chandler, AZ
National Provider Identifier
1700452570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- TERESA LAM OD PLLC
- Practice address
- 2040 S Alma School Rd Ste 23
Chandler, AZ 85286-7077 - Phone
- (480) 573-0671
- Fax
- (480) 573-0715
- NPI assigned
- Jun 2, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Teresa Lam, OD
- Title
- Manager
- Phone
- (480) 573-0671
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
2040 S Alma School Rd Ste 23
Chandler, AZ 85286-7077
Mailing address
2040 S Alma School Rd Ste 23
Chandler, AZ 85286-7077
Phone (480) 573-0671
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2040 S Alma School Rd
Ste 23
Chandler, AZ 85286
Phone (480) 573-0671
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Chandler, AZ
- NPI 1811348980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658880000000",
"number": "1700452570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 S ALMA SCHOOL RD STE 23",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852867077",
"telephone_number": "480-573-0671",
"fax_number": "480-573-0715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 S ALMA SCHOOL RD STE 23",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852867077",
"telephone_number": "480-573-0671",
"fax_number": "480-573-0715"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TERESA LAM OD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-02",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A",
"authorized_official_last_name": "LAM",
"authorized_official_first_name": "TERESA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "480-573-0671",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"endpointDescription": "NA",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "NA",
"address_1": "2040 S Alma School Rd Ste 23",
"city": "Chandler",
"state": "AZ",
"country_code": "US",
"postal_code": "852867077",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.