Individual provider Active NPI

David J. Lau, O.D.

  • Optometrist
  • Fair Oaks, CA
National Provider Identifier
1356342166
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7981TPL Issued in CA
Practice address
7547 Sunset Ave
Fair Oaks, CA 95628-4720
Phone
(916) 965-1017
NPI assigned
Aug 2, 2005
Last updated
Jan 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7981TPL CA Primary

Addresses

Primary practice location

7547 Sunset Ave
Fair Oaks, CA 95628-4720

Mailing address

7547 Sunset Ave
Fair Oaks, CA 95628-4720
Phone (916) 965-1017

Other identifiers 2

IdentifierTypeStateIssuer
12975OtherCAMEDICAL EYE SERVICES
211705OtherCAEYEMED

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110103000119 CA Practitioner - Optometry 6204946155 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7981TPLCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
David J Lau & Wesley S Umeda PTR CurrentSince Jan 1, 1985 Accepting new patients
Camille Weissenberg Optometry Professional Corporation Optometrist CurrentSince Jun 29, 2025 Accepting new patients

Locations

7547 Sunset Ave
Fair Oaks, CA 95628
Phone (916) 965-1017

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1356342166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7547 SUNSET AVE",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284720",
            "telephone_number": "916-965-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7547 SUNSET AVE",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284720",
            "telephone_number": "916-965-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "DAVID",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7981TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES",
            "identifier": "12975",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "211705",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

Verify at the official NPI Registry.