LY PHUNG LAM O.D.
NPI 1144574732
Optometrist in Colton, CA

Active since November 04, 2012PECOS EnrolledAccepts Medicare Assignment
308 N LA CADENA DR, COLTON, CA 92324(909) 321-4700 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ly Phung Lam O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LY PHUNG LAM O.D. (NPI 1144574732) is an individual optometrist in Colton, California, licensed in California (33646) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (2012).

NPPES Registry Identity

NPI1144574732
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameLY PHUNG LAMCredential: O.D.
Location Address308 N LA CADENA DRColton, CA 92324-2946
Mailing Address437 N Euclid AveOntario, CA 91762-3456 · (909) 321-4700
Sole ProprietorNo
Medical School CMSUniversity Of California - School Of OptometryGraduated 2012
Enumeration DateNovember 4, 2012
Last NPPES UpdateApril 11, 2017
NPI 1144574732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in CA · 33646 Licensed in PA · OEG002712 Licensed in MA · 4952
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
308 N LA CADENA DR, Colton, CA 92324

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ly Phung Lam O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507093549
PECOS Enrollment IDI20170705003363
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92324 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
308 N LA CADENA DR
COLTON, CA 92324
Social Worker (Clinical)
308 N LA CADENA DR
COLTON, CA 92324
Clinic/Center (Federally Qualified Health Center (FQHC))
308 N LA CADENA DR
COLTON, CA 92324
Nurse Practitioner (Psychiatric/Mental Health)
308 N LA CADENA DR
COLTON, CA 92324
Dentist (General Practice)
308 N LA CADENA DR
COLTON, CA 92324
Dentist
308 N LA CADENA DR
COLTON, CA 92324
Family Medicine
308 N LA CADENA DR
COLTON, CA 92324

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ly Lam's NPI number?

The NPI number for Ly Lam is 1144574732. It was assigned to this individual provider in the NPPES registry on November 4, 2012.

Where is Ly Lam located?

Ly Lam practices at 308 N La Cadena Dr, Colton, CA 92324. The listed phone number is (909) 321-4700.

What is Ly Lam's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Ly Lam enrolled in Medicare?

Yes. Ly Lam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ly Lam accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Providence Health Plan list Ly Lam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ly Lam was last updated on April 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.