SOPHIA LAM
NPI 1316833965
Optometrist in Berkeley, CA

Active since June 17, 2025PECOS Enrolled
200 MINOR HALL, BERKELEY, CA 94720(510) 642-2020 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sophia Lam NPPES

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

SOPHIA LAM (NPI 1316833965) is an individual optometrist in Berkeley, California, licensed in California (OPT35957) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316833965
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSOPHIA LAM
Location Address200 MINOR HALLBerkeley, CA 94720-0001
Mailing Address200 Minor HallBerkeley, CA 94720-0001 · (510) 642-2020
Sole ProprietorNo
Enumeration DateJune 17, 2025
NPPES CertifiedJune 17, 2025
✔ NPI 1316833965 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 CA · OPT35957
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.
200 MINOR HALL, Berkeley, CA 94720

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophia Lam is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Sophia Lam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optometrist
230 MINOR HALL
Berkeley, CA 94720
  • Reassigned Medicare billing, California enrollment
  • 96 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 94720 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 20

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

Optometrist
200 MINOR HALL, UC BERKELEY
BERKELEY, CA 94720
Optometrist (Corneal and Contact Management)
200 MINOR HALL, UNIVERSITY OF CALIFORNIA
BERKELEY, CA 94720
Optometrist
200 MINOR HALL
BERKELEY, CA 94720
Optometrist (Corneal and Contact Management)
200 MINOR HALL
BERKELEY, CA 94720
Optometrist
200 MINOR HALL
BERKELEY, CA 94720
Optometrist
200 MINOR HALL
BERKELEY, CA 94720
Optometrist
200 MINOR HALL, UNIVERSITY OF CALIFORNIA, BERKELEY
BERKELEY, CA 94720
Optometrist
200 MINOR HALL
BERKELEY, CA 94720

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 Sophia Lam's NPI number?

The NPI number for Sophia Lam is 1316833965. It was assigned to this individual provider in the NPPES registry on June 17, 2025.

Where is Sophia Lam located?

Sophia Lam practices at 200 Minor Hall, Berkeley, CA 94720. The listed phone number is (510) 642-2020.

What is Sophia Lam's specialty?

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

Is Sophia Lam enrolled in Medicare?

Yes. Sophia Lam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sophia Lam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Lam reassigns Medicare benefits to Regents Of The University Of California At Berkeley (Berkeley, CA). The 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 Sophia Lam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sophia Lam accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Sophia 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 Sophia Lam was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.