Provider Demographics
NPI:1790916211
Name:LAM, YUEN TSZ (OD)
Entity Type:Individual
Prefix:DR
First Name:YUEN
Middle Name:TSZ
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 1:420 N. JAMES ROAD
Mailing Address - Street 2:COLUMBUS VAACC (EYE CLINIC)
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219
Mailing Address - Country:US
Mailing Address - Phone:614-257-5392
Mailing Address - Fax:614-257-5288
Practice Address - Street 1:420 N. JAMES ROAD
Practice Address - Street 2:COLUMBUS VAACC (EYE CLINIC)
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219
Practice Address - Country:US
Practice Address - Phone:614-257-5392
Practice Address - Fax:614-257-5288
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-31
Last Update Date:2009-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5874152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist