Individual provider Active NPI

Julie Lam, O.D.

  • Optometrist
  • Cave Creek, AZ
National Provider Identifier
1972731701
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1694 Issued in AZ
Practice address
29605 N Cave Creek Rd Ste 102
Cave Creek, AZ 85331-2360
Phone
(480) 361-7040
Fax
(480) 361-5223
NPI assigned
Jul 1, 2009
Last updated
Jan 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1694 AZ Primary

Addresses

Primary practice location

29605 N Cave Creek Rd Ste 102
Cave Creek, AZ 85331-2360

Mailing address

29605 N Cave Creek Rd Ste 102
Cave Creek, AZ 85331-2360
Phone (480) 361-7040

Other identifiers 1

IdentifierTypeStateIssuer
Z134584OtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20091016000061 AZ Practitioner - Optometry 0547307944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Valley Eye Care, LLCGroup PAC ID 3375528706, 3 clinicians

Practice addresses (Care Compare)

13000 N 103Rd Ave
Suite 94
Sun City, AZ 85351-3060
Phone (623) 933-2013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1694AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
K Rhodes OD PLLC Optometrist CurrentSince Nov 1, 2022 Accepting new patients
Northwest Valley Eye Care, LLC Optometrist CurrentSince Mar 2, 2023 Accepting new patients
The Vision Center of West Phoenix Optometrist Past Accepting new patients
Grayhawk Eye Center Past Accepting new patients
Visionworks Inc Past Accepting new patients
Dr. Burns & Associates, P.C. Optometrist Past Accepting new patients
Tom Sowash OD & Associates PC Optometrist Past Accepting new patients

Locations

29605 N Cave Creek Rd
Ste 102
Cave Creek, AZ 85331
Phone (480) 361-7040

10336 W Coggins Dr
Ste A
Sun City, AZ 85351
Phone (623) 933-2013

13000 N 103rd Ave
Ste 94
Sun City, AZ 85351
Phone (623) 933-2013

10336 W Coggins Dr
Sun City, AZ 85351
Phone (623) 915-3937

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1972731701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29605 N CAVE CREEK RD STE 102",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853312360",
            "telephone_number": "480-361-7040",
            "fax_number": "480-361-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29605 N CAVE CREEK RD STE 102",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853312360",
            "telephone_number": "480-361-7040",
            "fax_number": "480-361-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z134584",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave Creek, AZ

Sources for this page

Verify at the official NPI Registry.