Active NPI
Lam Oculofacial Plastic Surgery PLLC
- Ophthalmology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD440839
- Legal business name
- LAM OCULOFACIAL PLASTIC SURGERY PLLC
- Practice address
- 1740 South St
Suite 400
Philadelphia, PA 19146 - Phone
- (267) 607-6888
- Fax
- (267) 393-4310
- NPI assigned
- Dec 31, 2012
- 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
- Vincent Basan Lam, M.D.
- Title
- Owner
- Phone
- (267) 607-6888
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD440839 | PA | Primary |
Addresses
Primary practice location
1740 South St
Suite 400
Philadelphia, PA 19146
Mailing address
1740 South St
Suite 400
Philadelphia, PA 19146
Phone (267) 607-6888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
333 E City Ave
Ste PL33
Bala Cynwyd, PA 19004
Phone (610) 645-6314
1740 South St
Ste 400
Philadelphia, PA 19146
Phone (215) 735-4223
1840 South St
Ste 4
Philadelphia, PA 19146
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Philadelphia, PA
- NPI 1477713576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444608000000",
"number": "1851637474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 SOUTH ST",
"address_2": "SUITE 400",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19146",
"telephone_number": "267-607-6888",
"fax_number": "267-393-4310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 SOUTH ST",
"address_2": "SUITE 400",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19146",
"telephone_number": "267-607-6888",
"fax_number": "267-393-4310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAM OCULOFACIAL PLASTIC SURGERY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-31",
"last_updated": "2015-10-12",
"status": "A",
"authorized_official_last_name": "LAM",
"authorized_official_first_name": "VINCENT",
"authorized_official_middle_name": "BASAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "267-607-6888",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD440839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.