Jessica Lau, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002309 Issued in VA

Practice address

5765 Burke Centre Pkwy Ste L
Burke, VA 22015-2264

Phone

(703) 250-9000

Fax

(703) 250-7500

NPI assigned

Mar 19, 2015

Sex

Female

Sole proprietor

Yes

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 DC

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

Illinois College of Optometry at Chicago, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Virginia, PLLCGroup PAC ID 0143448456, 133 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.

• Myeyedr Optometry of Virginia, PLLC

  • Optometrist
  • Falls Church, VA
  • NPI 1710343744

  DC, Optometrist

  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Virginia PLLC

  • Optometrist
  • Ashburn, VA
  • NPI 1174933691
  Care Compare group
• Myeyedr Optometry of Virginia, PLLC

  • Optometrist
  • Lynchburg, VA
  • NPI 1154895217
  Care Compare group
• Myeyedr Optometry of Virginia, PLLC

  • Optometrist
  • Harrisonburg, VA
  • NPI 1417325135
  Care Compare group
• Myeyedr Optometry of Virginia, PLLC

  • Optometrist
  • Williamsburg, VA
  • NPI 1922456672
  Care Compare group
• Myeyedr Optometry of Virginia, PLLC

  • Optometrist
  • Chantilly, VA
  • NPI 1932867744
  NPD
• Myeyedr Optometry of Virginia, PLLC

  • Optometrist
  • Herndon, VA
  • NPI 1013689355
  NPD (past)

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1366836009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5765 BURKE CENTRE PKWY STE L",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220152264",
            "telephone_number": "703-250-9000",
            "fax_number": "703-250-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "JESSICA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-19",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2450",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy La Freniere, OD
• Lisa Marie Lam, LCSW
• Christopher Ashby Lanier, L.C.S.W
• Stephen Thomas Lanier, DDS
• Jessica Liset Larios
• Laurence J Murphy MD Stacey H Staats MD
• Janice K Lavoie, N.P.
• Martina M Lavrisha, RN
• Nora Elspeth Lawler, FNP
• Abigail Christine Lawrence, M.S., CCC-SLP

• All providers in Burke, VA
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.