Active NPI
Juliett Phan Lam, O.D.
- Optometrist
- Houston, TX
National Provider Identifier
1942355169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6784 TG
- Practice address
- 13709 State Highway 249
Houston, TX 77086-2705 - Phone
- (346) 490-3319
- Fax
- (346) 456-4010
- NPI assigned
- Jan 25, 2007
- 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 | 6784 TG | TX | Primary |
Addresses
Primary practice location
13709 State Highway 249
Houston, TX 77086-2705
Mailing address
15539 Forest Creek Farms Dr
Cypress, TX 77429-4431
Phone (713) 423-9532
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 186674101 | Medicaid | TX |
Other names 1
- Juliett Quoc Phan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6784 TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vip Eyecare LLC | Optometrist | Current | Accepting new patients |
| Fort Bend Family Health Center, Inc. | Current | Accepting new patients | |
| Fort Bend Family Health Center, Inc | Current | Accepting new patients | |
| Ambrose Mobile Health Care Association | Past | Accepting new patients | |
| Jeffrey S. Snyder, O.D & Associates, PC | Optometrist | Past | Accepting new patients |
Locations
13709 State Highway 249
Houston, TX 77086
Phone (346) 490-3319
400 Austin St
Richmond, TX 77469
Phone (281) 342-4530
Interoperability endpoints
- juliett.lam.p1@direct.accesshealth.nextgenshare.com
Organizations & group practices 5
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.
-
- Optometrist
- Houston, TX
- NPI 1992413561
-
- Federally Qualified Health Center (FQHC)
- Richmond, TX
- NPI 1972601169
-
dba Accesshealth
- Federally Qualified Health Center (FQHC)
- Missouri City, TX
- NPI 1992530752
-
- Ophthalmology Physician
- Humble, TX
- NPI 1619126109
-
dba Mobile Eye Associates
- Optometrist
- Houston, TX
- NPI 1417941113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663372800000",
"number": "1942355169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15539 FOREST CREEK FARMS DR",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774294431",
"telephone_number": "713-423-9532",
"fax_number": "346-456-3319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13709 STATE HIGHWAY 249",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770862705",
"telephone_number": "346-490-3319",
"fax_number": "346-456-4010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "JULIETT",
"middle_name": "PHAN",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2022-09-17",
"certification_date": "2022-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "6784 TG",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "186674101",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JULIETT",
"last_name": "PHAN",
"middle_name": "QUOC",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.