SOPHIA LAM OD
NPI 1386363711
Optometrist - Corneal and Contact Management in Berkeley, CA

Active since August 29, 2022PECOS EnrolledAccepts Medicare Assignment
200 MINOR HALL, BERKELEY, CA 94720(626) 703-7712 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 7, 2026, Aug 29, 2022 (2 updates tracked since 2022).

About Sophia Lam Od NPPES

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

SOPHIA LAM OD (NPI 1386363711) is an individual corneal and contact management provider in Berkeley, California, licensed in California (35202) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (2022).

NPPES Registry Identity

NPI1386363711
Entity TypeIndividualFemale
Primary Taxonomy152WC0802X
Provider Legal NameSOPHIA LAMCredential: OD
Location Address200 MINOR HALLBerkeley, CA 94720-0001
Mailing Address200 Minor HallBerkeley, CA 94720-0001 · (626) 703-7712
Sole ProprietorNo
Medical School CMSUniversity Of California - School Of OptometryGraduated 2022
Enumeration DateAugust 29, 2022
Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1386363711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License✔ Licensed in CA · 35202
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
200 MINOR HALL, Berkeley, CA 94720

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

Sophia 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 ID5991173510
PECOS Enrollment IDI20221201001223
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 Sophia Lam reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
230 MINOR HALL
Berkeley, CA 94720
  • Reassigned Medicare billing, California enrollment
  • 96 clinicians in this Medicare group
Health Maintenance Organization
2103 E GONZALES RD
Oxnard, CA 93036
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
Optometrist
2101 ROSECRANS AVE, STE 1215
El Segundo, CA 90245
  • Reassigned Medicare billing, California enrollment
  • 4 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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
56 services54 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services32 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
31 services31 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
21 services21 patients

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 1386363711. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Where is Sophia Lam located?

Sophia Lam practices at 200 Minor Hall, Berkeley, CA 94720. The listed phone number is (626) 703-7712.

What is Sophia Lam's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Sophia Lam enrolled in Medicare?

Yes. Sophia 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 Sophia Lam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Lam reassigns Medicare benefits to 3 organizations: Regents Of The University Of California At Berkeley (Berkeley, CA), Southern California Permanente Medical Group (Oxnard, CA) and Michael W Hansen Od Inc (El Segundo, 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 Sophia 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 Sophia 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 3 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.