MEDICARE: JOY LAM O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	14365	CA
2	152W00000X	Optometrist	7604T	TX
3	152W00000X	Optometrist	14365 TLG	CA

General Provider Information

NPI Number	:	1174836217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOY LAM O.D.

Provider Business Mailing Address
First Line	:	6174 CECALA DR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95120-2709
Country	:	US
Telephone Number	:	832-423-9859
Fax Number	:

Provider Business Practice Location Address
First Line	:	460 UNIVERSITY AVE
Second Line	:
City	:	PALO ALTO
State	:	CA
Zip	:	94301-1812
Country	:	US
Telephone Number	:	650-327-2020
Fax Number	:	650-327-2039

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2010
Last Update Date	:	10/01/2024

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