Individual provider Active NPI

Le Lam, O.D.

  • Optometrist
  • Lorain, OH
National Provider Identifier
1750447942
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4568 Issued in OH
Practice address
1710 Cooper Foster Park Rd W
Lorain, OH 44053-3680
Phone
(440) 734-1030
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4568 OH Primary

Addresses

Primary practice location

1710 Cooper Foster Park Rd W
Lorain, OH 44053-3680

Mailing address

7004 Shadetree CT
Olmsted Falls, OH 44138-3724
Phone (440) 897-0246

Other identifiers 1

IdentifierTypeStateIssuer
0985108MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120627000307 OH Practitioner - Optometry 1951566868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family First Vision Care LLCGroup PAC ID 2769709179, 25 clinicians

Practice addresses (Care Compare)

368 S Hamilton Rd
Gahanna, OH 43230-3350
Phone (614) 478-7474

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4568OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Vision Care, LLC Optometrist CurrentSince Mar 31, 2020 Accepting new patients

Locations

1251 N Bridge St
Ste N
Chillicothe, OH 45601
Phone (740) 212-3810

1150 Polaris Pkwy
Columbus, OH 43240
Phone (614) 433-7357

3948 Morse Xing
Columbus, OH 43219
Phone (614) 475-5240

316 S Hamilton Rd
Gahanna, OH 43230

368 S Hamilton Rd
Gahanna, OH 43230
Phone (614) 478-5030

25102 Brookpark Rd
Ste 126
North Olmsted, OH 44070
Phone (440) 734-1030

7855 W Ridgewood Dr
Ste 823
Parma, OH 44129
Phone (440) 482-5772

7855 W Ridgewood Dr
#823
Parma, OH 44129
Phone (440) 482-5772

8121 E Broad St
Reynoldsburg, OH 43068
Phone (614) 655-8448

29994 Detroit Rd
Westlake, OH 44145
Phone (440) 734-1030

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1750447942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 SHADETREE CT",
            "city": "OLMSTED FALLS",
            "state": "OH",
            "postal_code": "441383724",
            "telephone_number": "440-897-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 COOPER FOSTER PARK RD W",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533680",
            "telephone_number": "440-734-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "LE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0985108",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.