Provider Demographics
NPI:1043409238
Name:DR. LAM & ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:DR. LAM & ASSOCIATES, P.A.
Other - Org Name:HAWK EYE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:CUONG
Authorized Official - Last Name:LAM
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-987-5555
Mailing Address - Street 1:9865 BLACKHAWK BLVD
Mailing Address - Street 2:STE. C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77075-2247
Mailing Address - Country:US
Mailing Address - Phone:713-987-5555
Mailing Address - Fax:713-987-5557
Practice Address - Street 1:9865 BLACKHAWK BLVD
Practice Address - Street 2:STE. C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77075-2247
Practice Address - Country:US
Practice Address - Phone:713-987-5555
Practice Address - Fax:713-987-5557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-24
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6507TG152W00000X, 152WC0802X, 152WS0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Multi-Specialty
No152WS0006XEye and Vision Services ProvidersOptometristSports VisionGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00844XMedicare PIN
TXV02935Medicare UPIN