Individual provider Active NPI

Yau San Tam, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1992054670
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7992TG Issued in TX
Practice address
6701 Fannin St Ste 200
Houston, TX 77030-2608
Phone
(832) 733-1003
Fax
(832) 733-1458
NPI assigned
Sep 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7992TG TX Primary

Addresses

Primary practice location

6701 Fannin St Ste 200
Houston, TX 77030-2608

Mailing address

9700 Bissonnet St
Ste. 1000W
Houston, TX 77036-8001
Phone (832) 733-1003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20151102002809 TX Practitioner - Optometry 7618120114 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7992TXMDAssistant Behavior Analyst
7992TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Children'S Physician Group CurrentSince Sep 3, 2024 Accepting new patients

Locations

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

9700 Bissonnet St
Ste 1000
Houston, TX 77036
Phone (832) 733-1361

6701 Fannin St
Ste 200
Houston, TX 77030
Phone (832) 733-1003

9700 Bissonnet St
Ste 1000W
Houston, TX 77036
Phone (832) 828-1005

6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000

Interoperability endpoints

  • Direct secure messaging: ytam167420@prddirect.texaschildrens.org

Organizations & group practices 1

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": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1992054670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 BISSONNET ST",
            "address_2": "STE. 1000W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368001",
            "telephone_number": "832-733-1003",
            "fax_number": "832-733-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 FANNIN ST STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302608",
            "telephone_number": "832-733-1003",
            "fax_number": "832-733-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAM",
        "first_name": "YAU",
        "middle_name": "SAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7992TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.