Provider Demographics
NPI:1114128147
Name:LORI D. KAM AND STEPHEN K. CHING, O.D.S
Entity Type:Organization
Organization Name:LORI D. KAM AND STEPHEN K. CHING, O.D.S
Other - Org Name:EYE ZONE OPTOMETRY
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:CHING
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:916-638-3878
Mailing Address - Street 1:2248 SUNRISE BLVD
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670
Mailing Address - Country:US
Mailing Address - Phone:916-987-9661
Mailing Address - Fax:
Practice Address - Street 1:2248 SUNRISE BLVD.
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670
Practice Address - Country:US
Practice Address - Phone:916-638-3878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9015T 9223T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ14609ZMedicare PIN
CA4481310001Medicare NSC
CAZZZ24507ZMedicare PIN