Provider Demographics
NPI:1174836217
Name:LAM, JOY (OD)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:LAM
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6174 CECALA DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95120-2709
Mailing Address - Country:US
Mailing Address - Phone:832-423-9859
Mailing Address - Fax:
Practice Address - Street 1:460 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-1812
Practice Address - Country:US
Practice Address - Phone:650-327-2020
Practice Address - Fax:650-327-2039
Is Sole Proprietor?:No
Enumeration Date:2010-07-19
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14365152W00000X
TX7604T152W00000X
CA14365 TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist