Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan Lam, OD

Individual provider Optometrist · NPI 1164042461

Jonathan Lam, OD is an Optometry in Prescott, Arizona. Graduated from New England College of Optometry in 2015, 11 years ago. Practices with Winslow Indian Health Care Center Inc, a 100-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
11
Trained at
New England College of Optometry
Licensed in
VA
In the registry since
2020
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

500 N US Highway 89
Prescott, AZ 86313-5001
Phone: (928) 717-7477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0618002879 (VA)

Record details

NPI number1164042461
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedApril 16, 2020
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024
Mailing address500 N Us Highway 89, Prescott, AZ 86313-5001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolNEW ENGLAND COLLEGE OF OPTOMETRY
Graduated 2015 (11 years in practice)
Group practice Winslow Indian Health Care Center Inc — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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