JONATHAN LAM OD
NPI 1164042461
Optometrist in Prescott, AZ

Q: What is Jonathan Lam's NPI number?

The NPI number for Jonathan Lam is 1164042461. It was assigned to this individual provider in the NPPES registry on April 16, 2020.

Q: What is Jonathan Lam's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jonathan Lam was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since April 16, 2020PECOS EnrolledAccepts Medicare Assignment

84.24/100

CMS Quality Rating

500 N US HIGHWAY 89, PRESCOTT, AZ 86313(928) 717-7477 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 27, 2024, Jul 22, 2020, Apr 16, 2020 (3 updates tracked since 2020).

On this page

About Jonathan Lam Od NPPES

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

JONATHAN LAM OD (NPI 1164042461) is an individual optometrist in Prescott, Arizona, licensed in Virginia (0618002879) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2015).

NPPES Registry Identity

NPI1164042461

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameJONATHAN LAMCredential: OD

Location Address500 N US HIGHWAY 89Prescott, AZ 86313-5001

Mailing Address500 N Us Highway 89Prescott, AZ 86313-5001 · (928) 717-7477

Phone(928) 717-7477

Sole ProprietorYes

Medical School CMSNew England College Of OptometryGraduated 2015

Enumeration DateApril 16, 2020

Last NPPES UpdateSeptember 27, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2024

✔ NPI 1164042461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in VA · 0618002879

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.

500 N US HIGHWAY 89, Prescott, AZ 86313

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Jonathan Lam Od 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 ID4688090087

PECOS Enrollment IDI20200817001123

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 86313 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.24/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.91

Promoting Interoperability

Improvement Activities

Cost

67.56

Other Providers at the Same Location NPPES 20

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

MR. KENNETH GEORGE FOURNIER LICSW

Social Worker (Clinical)

500 N US HIGHWAY 89
PRESCOTT, AZ 86313

Yavapai County (928) 445-4860

CAROLYNN NELL PRITCHARD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

500 N US HIGHWAY 89
PRESCOTT, AZ 86313

Yavapai County (928) 445-4860

HEIDI DELL LCSW

Social Worker (Clinical)

500 N US HIGHWAY 89
PRESCOTT, AZ 86313

Yavapai County (928) 925-6180

HALEY RUTH OTR/L

Occupational Therapist

500 N US HIGHWAY 89
PRESCOTT, AZ 86313

Yavapai County (603) 731-4804

DR. WILLIAM R FLEMING M.D.

Emergency Medicine

500 N US HIGHWAY 89, NORTHERN ARIZONA VA HCS
PRESCOTT, AZ 86313

Yavapai County (928) 445-4860

ANGEL JOSE MENDEZ PHARMD

Pharmacist

500 N US HIGHWAY 89
PRESCOTT, AZ 86313

Yavapai County (928) 445-4860

REBECCA HOWARD

Dental Hygienist

500 N US HIGHWAY 89
PRESCOTT, AZ 86313

Yavapai County (928) 443-5432

JOHN DESJARLAIS

Specialist/Technologist, Pathology (Medical Technologist)

500 N US HIGHWAY 89
PRESCOTT, AZ 86313

Yavapai County (925) 445-4860

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 Jonathan Lam's NPI number?

The NPI number for Jonathan Lam is 1164042461. It was assigned to this individual provider in the NPPES registry on April 16, 2020.

Where is Jonathan Lam located?

Jonathan Lam practices at 500 N Us Highway 89, Prescott, AZ 86313. The listed phone number is (928) 717-7477.

What is Jonathan Lam's specialty?

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

Is Jonathan Lam enrolled in Medicare?

Yes. Jonathan 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.

When was this NPI record last updated?

The NPPES record for Jonathan Lam was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.