Active NPI
Man-Yin Lau, O.D.
- Optometrist
- Seattle, WA
National Provider Identifier
1366498354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3749
- Practice address
- 2008 5TH Ave
Seattle, WA 98121-2505 - Phone
- (206) 622-7002
- Fax
- (206) 622-1830
- NPI assigned
- May 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 3749 | WA | Primary |
Addresses
Primary practice location
2008 5TH Ave
Seattle, WA 98121-2505
Mailing address
2008 5TH Ave
Seattle, WA 98121-2505
Phone (206) 349-7462
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1008708 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060920000008 | WA | Practitioner - Optometry | 3375548662 | Practice locations: Seattle, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2008 5TH Ave
Seattle, WA 98121-2505
Phone (206) 622-7002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3749 | WA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466035200000",
"number": "1366498354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2008 5TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981212505",
"telephone_number": "206-349-7462",
"fax_number": "206-622-1830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2008 5TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981212505",
"telephone_number": "206-622-7002",
"fax_number": "206-622-1830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAU",
"first_name": "MAN-YIN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2016-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "3749",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1008708",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.