Individual provider Active NPI

Juliett Phan Lam, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1942355169
Registry record updated Sep 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6784 TG Issued in TX
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

Updated by the provider on Sep 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
186674101MedicaidTX

Other names 1

  • Juliett Quoc Phan Former name

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6784 TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vip Eyecare LLC Optometrist CurrentSince Sep 2, 2022 Accepting new patients
Fort Bend Family Health Center, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Fort Bend Family Health Center, Inc CurrentSince Jan 1, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.