Jenny Chang Lam, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

15291 Issued in CA

Practice address

711 Kains Ave
San Bruno, CA 94066-3404

Phone

(650) 871-1816

NPI assigned

Jun 20, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

University of California - School of Optometry, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Fourth Optometric Care of CaliforniaGroup PAC ID 6305210345, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fourth Optometric Care of California

  • Optometrist
  • Mountain View, CA
  • NPI 1497499974
  Medicare reassignment Care Compare group NPD
• Fourth Optometric Care of California

  • Optometrist
  • Mountain View, CA
  • NPI 1689248874
  NPD
• Fourth Optometric Care of California

  • Optometrist
  • San Bruno, CA
  • NPI 1750052189
  NPD

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

{
    "created_epoch": "1434758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539388800000",
    "number": "1982086401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 KAINS AVE",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940663404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 KAINS AVE",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940663404",
            "telephone_number": "650-871-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "JENNY",
        "middle_name": "CHANG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-20",
        "last_updated": "2018-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chan Lai
• Yuki Aoki Laib, MFT
• Jacqueline R Lalucis
• Lana Kae Lam-Sing
• Isabelle Sy Lam
• Ka Ming Lam
• Vincent Lam
• Karma Yeshi Tsomo Lama
• Rachelle Lamb
• Joshua Kaleb Deocampo Landas

• Optometrist in San Bruno, CA
• Providers in San Bruno, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2018; 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.

Verify at the official NPI Registry.