Provider Demographics
NPI:1043476146
Name:LAM, EDA WING-HING (OD)
Entity Type:Individual
Prefix:
First Name:EDA
Middle Name:WING-HING
Last Name:LAM
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 MAN MAR DR
Mailing Address - Street 2:STE 6
Mailing Address - City:PLAINVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02762-2271
Mailing Address - Country:US
Mailing Address - Phone:518-336-0393
Mailing Address - Fax:402-337-8644
Practice Address - Street 1:769 ROUTE 132 # 97
Practice Address - Street 2:SEARS OPTICAL
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-5027
Practice Address - Country:US
Practice Address - Phone:508-771-4631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4682152W00000X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist