Active NPI
Jeanette M Lam, O.D.
- Optometrist
- Carson City, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1051
- Practice address
- 111 W Tenth St
Carson City, NV 89703-5201 - Phone
- (775) 883-4664
- Fax
- (775) 883-4750
- NPI assigned
- Feb 13, 2007
- 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 | TA-1801 | MD | |
| Optometrist | 152W00000X | 1051 | NV | Primary |
Addresses
Primary practice location
111 W Tenth St
Carson City, NV 89703-5201
Mailing address
111 W Tenth St
Carson City, NV 89703-5201
Phone (775) 883-4664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 W Tenth St
Carson City, NV 89703-5201
Phone (775) 883-4664
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.15 of 100
- Quality
- 78.3
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 26 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA-1801 | MD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barenburg Optical Service, Inc | Optometrist | Current | Accepting new patients |
| Ruckman Eyecare PC | Optometrist | Current | Accepting new patients |
| Weinstein Eye Associates LLC | Optometrist | Current | Accepting new patients |
Locations
100 Park Ave
Baltimore, MD 21201
Phone (410) 727-0285
9051 Baltimore National Pike
Ellicott City, MD 21042
Phone (410) 465-4020
1215 Annapolis Rd
Ste 103
Odenton, MD 21113
Phone (301) 672-2515
5743 Crain Hwy
Uppr Marlboro, MD 20772
Phone (301) 627-4485
3080 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 843-9112
111 W Tenth St
Carson City, NV 89703
Phone (775) 883-4664
Interoperability endpoints
- jeanette.lam@direct.revolutionehr.com
Organizations & group practices 3
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.
-
- Optometrist
- Carson City, NV
- NPI 1265724884
-
- Optometrist
- Baltimore, MD
- NPI 1639179112
-
- Optometrist
- Odenton, MD
- NPI 1922124072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1700928645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W TENTH ST",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897035201",
"telephone_number": "775-883-4664",
"fax_number": "775-883-4750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W TENTH ST",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897035201",
"telephone_number": "775-883-4664",
"fax_number": "775-883-4750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "JEANETTE",
"middle_name": "M",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA-1801",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "1051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.