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NPI Code Detail

MEDICARE: CONNIE LAM OD

MEDICARE: CONNIE LAM OD
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
1152W00000XOptometrist011337NY
2152W00000XOptometrist27OM00209300NJ

General Provider Information

NPI Number : 1629806781
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONNIE LAM OD
Provider Business Mailing Address
First Line : 9701 VENTNOR AVE STE 201
Second Line :
City : MARGATE CITY
State : NJ
Zip : 08402-2222
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9701 VENTNOR AVE STE 201
Second Line :
City : MARGATE CITY
State : NJ
Zip : 08402-2222
Country : US
Telephone Number : 609-822-4242
Fax Number : 609-822-3211
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2024
Last Update Date : 02/06/2026

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Directions to “ CONNIE LAM OD” Practice Location

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