Provider Demographics
NPI:1083087274
Name:LAM EYE CARE, INC.
Entity Type:Organization
Organization Name:LAM EYE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:EDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAM
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:508-771-4631
Mailing Address - Street 1:769 ROUTE 132 # 97
Mailing Address - Street 2:SEARS OPTICAL
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-5027
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-10
Last Update Date:2016-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4682152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty