Active NPI
Stella Kim Lau, O.D.
- Optometrist
- North Las Vegas, NV
National Provider Identifier
1275575722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 589
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48830739 | Medicaid | NM | |
| 1275575722 | Medicaid | NV | |
| 950685 | Medicaid | AZ | |
| 75507242 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 634 | HI | MD | Clinical Psychologist |
| 5949006-9934 | UT | MD | Optometrist |
| 12895 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stella K. Lau, OD, PLLC | Optometrist | Current | Accepting new patients |
| Irene Benn Medical Center | Current | 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.
-
- Optometrist
- North Las Vegas, NV
- NPI 1902289168
-
dba PHS Fort Defiance Indian Hospital
- General Acute Care Hospital
- Fort Defiance, AZ
- NPI 1700962131
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.