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: August 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 7, 2026, Apr 11, 2017 (2 updates tracked since 2017).

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 UpdateAugust 7, 20262 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ 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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Ly Lam reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
308 N LA CADENA DR
Colton, CA 92324
  • Reassigned Medicare billing, California enrollment
  • 119 clinicians in this Medicare group
Health Maintenance Organization
9961 SIERRA AVE
Fontana, CA 92335
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
Optometrist
8190 MANGO AVE
Fontana, CA 92335
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Cathy Nguyen Od A Professional Optometric Corporation
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Ly Lam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ly Lam reassigns Medicare benefits to 3 organizations: Unicare Community Health Center, Inc. (Colton, CA), Southern California Permanente Medical Group (Fontana, CA) and Cathy Nguyen, O.D., A Professional Optometric Corporation (Fontana, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ly Lam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ly Lam was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.