Active NPI
Tiffany Ya Ming Lau, OD
- Optometrist
- Novato, CA
National Provider Identifier
1245127612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 36033
- Practice address
- 300 Vintage Way
Novato, CA 94945-5007 - Phone
- (415) 408-0017
- NPI assigned
- Jun 19, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 36033 | CA | Primary |
Addresses
Primary practice location
300 Vintage Way
Novato, CA 94945-5007
Mailing address
300 Vintage Way
Novato, CA 94945-5007
Phone (415) 408-0017
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
| License | State | Type | Specialty |
|---|---|---|---|
| 36033 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacifica Sun Optometry Inc | Optometrist | Current | Accepting new patients |
Locations
2014 Palmetto Ave
Ste B
Pacifica, CA 94044
Phone (650) 359-2231
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Pacifica, CA
- NPI 1346074994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767916800000",
"number": "1245127612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 VINTAGE WAY",
"city": "NOVATO",
"state": "CA",
"postal_code": "949455007",
"telephone_number": "415-408-0017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 VINTAGE WAY",
"city": "NOVATO",
"state": "CA",
"postal_code": "949455007",
"telephone_number": "415-408-0017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAU",
"first_name": "TIFFANY",
"middle_name": "YA MING",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-19",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "36033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.