Individual provider Active NPI

Valerie Lam, O.D.

  • Optometrist
  • Watauga, TX
National Provider Identifier
1831401926
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7566T Issued in TX
Practice address
8436 Denton Hwy
Suite 210
Watauga, TX 76148-2472
Phone
(817) 514-0174
Fax
(817) 514-7855
NPI assigned
Jul 6, 2010
Last updated
Jul 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7566T TX Primary

Addresses

Primary practice location

8436 Denton Hwy
Suite 210
Watauga, TX 76148-2472

Mailing address

8436 Denton Hwy
Suite 210
Watauga, TX 76148-2472
Phone (817) 514-0174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7566TTXMDOptometrist
14125CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1831401926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8436 DENTON HWY",
            "address_2": "SUITE 210",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761482472",
            "telephone_number": "817-514-0174",
            "fax_number": "817-514-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8436 DENTON HWY",
            "address_2": "SUITE 210",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761482472",
            "telephone_number": "817-514-0174",
            "fax_number": "817-514-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "VALERIE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7566T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watauga, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.