Individual provider Active NPI

Veronica Lam, OD

  • Optometrist
  • Half Moon Bay, CA
National Provider Identifier
1942216106
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11685TLG Issued in CA
Practice address
210 Main St Ste 100
Half Moon Bay, CA 94019-1722
Phone
(650) 712-1234
Fax
(650) 726-5749
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X SD0116850 CA
Optometrist 152W00000X 11685TLG CA Primary

Addresses

Primary practice location

210 Main St Ste 100
Half Moon Bay, CA 94019-1722

Mailing address

210 Main St Ste 100
Half Moon Bay, CA 94019-1722
Phone (650) 712-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180126001239 CA Practitioner - Optometry 3779843461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Veronica Lam, O.D., Inc.Group PAC ID 9032649223, 2 clinicians

Practice addresses (Care Compare)

210 Main St
Suite 100
Half Moon Bay, CA 94019-1722
Phone (650) 712-1234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11685TLGCAMDOptometrist
SD0116850CAMDOptometrist
11685CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Veronica Lam, O.D., Inc. CurrentSince Nov 27, 2024 Accepting new patients

Locations

210 Main St
Half Moon Bay, CA 94019
Phone (650) 712-1234

210 Main St
Ste 100
Half Moon Bay, CA 94019
Phone (650) 712-1234

Organizations & group practices 2

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1942216106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MAIN ST STE 100",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940191722",
            "telephone_number": "650-712-1234",
            "fax_number": "650-726-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MAIN ST STE 100",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940191722",
            "telephone_number": "650-712-1234",
            "fax_number": "650-726-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "VERONICA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "SD0116850",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11685TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Half Moon Bay, CA

Sources for this page

Verify at the official NPI Registry.