Individual provider Active NPI

Stella Kim Lau, O.D.

  • Optometrist
  • North Las Vegas, NV
National Provider Identifier
1275575722
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
589 Issued in NV
Practice address
4116 W Craig Rd Ste 104
North Las Vegas, NV 89032-2733
Phone
(702) 631-2015
Fax
(702) 631-2511
NPI assigned
Jun 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12895 CA
Optometrist 152W00000X 634 HI
Optometrist 152W00000X 5949006-9934 UT
Optometrist 152W00000X 589 NV Primary

Addresses

Primary practice location

4116 W Craig Rd Ste 104
North Las Vegas, NV 89032-2733

Mailing address

8282 Beaverbrook Way
Las Vegas, NV 89123-0837

Other identifiers 4

IdentifierTypeStateIssuer
48830739MedicaidNM
1275575722MedicaidNV
950685MedicaidAZ
75507242MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050812000681 TX Practitioner - Optometry 1557391281 Reassigns benefits to 1 organization
I20151112000425 NV Practitioner - Optometry 1557391281

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4116 W Craig Rd
Suite 104
North Las Vegas, NV 89032-2733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
634HIMDClinical Psychologist
5949006-9934UTMDOptometrist
12895CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Stella K. Lau, OD, PLLC Optometrist CurrentSince Sep 29, 2015 Accepting new patients
Irene Benn Medical Center CurrentSince Jan 5, 2022 Accepting new patients
DHHS PHS Naihs Fort Defiance Hospital Past Accepting new patients

Locations

4116 W Craig Rd
Ste 104
North Las Vegas, NV 89032
Phone (702) 631-2015

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1275575722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8282 BEAVERBROOK WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891230837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4116 W CRAIG RD STE 104",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890322733",
            "telephone_number": "702-631-2015",
            "fax_number": "702-631-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "STELLA",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12895",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "634",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "5949006-9934",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48830739",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275575722",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "950685",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75507242",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.