Provider Demographics
NPI:1417325994
Name:LAM, AMY JINGHONG (OD, MS)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:JINGHONG
Last Name:LAM
Suffix:
Gender:F
Credentials:OD, MS
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Mailing Address - Street 1:90 BERGEN ST STE 6100
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-2425
Mailing Address - Country:US
Mailing Address - Phone:973-972-2065
Mailing Address - Fax:973-972-1244
Practice Address - Street 1:90 BERGEN ST STE 6100
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-2425
Practice Address - Country:US
Practice Address - Phone:973-972-2065
Practice Address - Fax:973-972-1244
Is Sole Proprietor?:No
Enumeration Date:2015-09-14
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV 008282152W00000X
NJ27OA00669500152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist