Jackson Lau, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010831 Issued in IL

Practice address

3241 S Michigan Ave
Chicago, IL 60616-3878

Phone

(312) 225-6200

Fax

(312) 949-7389

NPI assigned

Jul 10, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

Optometry

Education

University of California - School of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mendelson and Mark Optometric CorporationGroup PAC ID 0244607562, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mendelson & Mark Optometric Corporation

  • Optometrist
  • Sunnyvale, CA
  • NPI 1942960661
  Medicare reassignment Care Compare group NPD
• Amplify Physicians of California PC

  • Ophthalmology Physician
  • Sunnyvale, CA
  • NPI 1659113439
  Medicare reassignment NPD
• Silicon Valley Eye Physicians

  • Ophthalmology Physician
  • Sunnyvale, CA
  • NPI 1154324572
  Medicare reassignment NPD
• Amplify Physicians of California PC

  • Optometrist
  • Los Angeles, CA
  • NPI 1124866959
  NPD
• Dr Caleb Poon O D Inc

  • Optometrist
  • Santa Rosa, CA
  • NPI 1588250625
  NPD

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1295141273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163878",
            "telephone_number": "312-225-6200",
            "fax_number": "312-949-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3241 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163878",
            "telephone_number": "312-225-6200",
            "fax_number": "312-949-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "JACKSON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010831",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": "046010831",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Lau, PHARMD
• Cesar L Lau, O.D.
• Chelsea Elizabeth Lau, MD
• Cynthia Kit Yee Lau, M.D.
• Denny Lau, DO
• Jeannine Lau
• Kevin Y. Lau, M.D.
• Lisa Lau, M.D.
• Patrick Lau, MD
• Rickey Lau

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.

Verify at the official NPI Registry.