Individual provider Active NPI

Thomas Rae Lau

  • Hearing Instrument Specialist
  • Titusville, FL
National Provider Identifier
1073859831
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
LHAS002796 Issued in FL
Practice address
3055 Columbia Blvd
Suite B106
Titusville, FL 32780-7865
Phone
(321) 267-9746
Fax
(321) 267-9745
NPI assigned
Dec 26, 2012
Last updated
Dec 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X LHAS002796 FL Primary

Addresses

Primary practice location

3055 Columbia Blvd
Suite B106
Titusville, FL 32780-7865

Mailing address

3055 Columbia Blvd
Suite B106
Titusville, FL 32780-7865
Phone (321) 267-9746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LHAS002796FLMDHearing Instrument Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356480000000",
    "number": "1073859831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 COLUMBIA BLVD",
            "address_2": "SUITE B106",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807865",
            "telephone_number": "321-267-9746",
            "fax_number": "321-267-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 COLUMBIA BLVD",
            "address_2": "SUITE B106",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807865",
            "telephone_number": "321-267-9746",
            "fax_number": "321-267-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "THOMAS",
        "middle_name": "RAE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "LHAS002796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.