Active NPI
Jane Lam, O.D.
- Optometrist
- Cambridge, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5067
- Practice address
- 19 Dunster St
Cambridge, MA 02138-5002 - Phone
- (617) 354-5590
- NPI assigned
- Dec 10, 2014
- Last updated
- Dec 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5067 | MA | Primary |
Addresses
Primary practice location
19 Dunster St
Cambridge, MA 02138-5002
Mailing address
84 Concetta Sass Dr
Randolph, MA 02368-6010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4110 Mystic Valley Pkwy
Medford, MA 02155-6931
Phone (781) 350-7008
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lickteig Family Eyecare PC | Optometrist | Current | Accepting new patients |
Locations
870 Providence Hwy
Dedham, MA 02026
Phone (781) 328-0067
280 School St
Ste J140
Mansfield, MA 02048
Phone (508) 594-4510
15 Brook St
Ste 3
Medfield, MA 02052
4110 Mystic Valley Pkwy
Medford, MA 02155
Phone (781) 350-7008
1245 Worcester St
Ste 1024
Natick, MA 01760
Phone (508) 653-0223
Interoperability endpoints
- jane.lam@direct.revolutionehr.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Dedham, MA
- NPI 1063720498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418169600000",
"number": "1881092666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 CONCETTA SASS DR",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023686010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 DUNSTER ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385002",
"telephone_number": "617-354-5590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "JANE",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-10",
"last_updated": "2014-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "5067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.