Edward Laubach, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

9720 Issued in CA

Practice address

5980 Stoneridge Dr
Ste 110
Pleasanton, CA 94588-2723

Phone

(925) 463-7330

Fax

(925) 463-7337

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: elaubach@ebec.intellechartdirect.net

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1104853696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 PEARLGRASS CT",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5980 STONERIDGE DR",
            "address_2": "STE 110",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882723",
            "telephone_number": "925-463-7330",
            "fax_number": "925-463-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUBACH",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Danielle Latayan-Pastores
• Juliet Latorre-Olivo
• Amber Lynne Latza, D.C.
• Kai Chung Anderson Lau, PHARM.D.
• Sheila Lau, M.A., MFTI
• Brian John Laurence, LMFT
• Laura C Lavelle, F.N.P.
• Rita Lawrence
• Cho Cho Lay, MD
• Ramar T. Le Grande

• Optometrist in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.