Individual provider Active NPI

Marisa Lau, MD

  • Ophthalmology Physician
  • Aurora, CO
National Provider Identifier
1396180170
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
DR.0058265 Issued in CO
Practice address
1675 Aurora CT
Aurora, CO 80045-2517
Phone
(720) 848-2020
NPI assigned
May 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MT203472 PA
Ophthalmology Physician 207W00000X DR.0058265 CO Primary

Addresses

Primary practice location

1675 Aurora CT
Aurora, CO 80045-2517

Mailing address

3333 E Bayaud Ave Apt 509
Denver, CO 80209-3054
Phone (908) 591-2319

Other practice location 1

51 N 39th St
Philadelphia, PA 19104-2640
Phone (215) 662-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190829000308 NJ Practitioner - Ophthalmology 4587953369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10 Plum St
Suite 600
New Brunswick, NJ 08901-2065
Phone (732) 220-1600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.37 of 100Reported as individual
Quality
93.41
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0058265COMDOphthalmology Physician
MT203472PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Retinal Consultants LLC CurrentSince Aug 19, 2019 Accepting new patients
Associated Retinal Consultants LLC Ophthalmology CurrentSince Aug 19, 2019 Accepting new patients
Complete Vision Services Ophthalmology Past Accepting new patients

Locations

1200 Route 22
Ste 1
Bridgewater, NJ 08807
Phone (908) 218-4303

2 Industrial Way W
Eatontown, NJ 07724
Phone (732) 389-2333

98 James St
Ste 209
Edison, NJ 08820
Phone (732) 549-7000

525 Route 70
Ste B14
Lakewood, NJ 08701
Phone (732) 363-2396

140 Franklin Corner Rd
Lawrenceville, NJ 08648
Phone (609) 896-3655

312 Applegarth Rd
Ste 203
Monroe Township, NJ 08831
Phone (609) 655-8301

10 Plum St
Ste 600
New Brunswick, NJ 08901
Phone (732) 220-1600

2 Capital Way
Ste 326
Pennington, NJ 08534
Phone (609) 882-8833

628 Cedar Ln
Teaneck, NJ 07666
Phone (201) 837-7300

530 Lakehurst Rd
Ste 305
Toms River, NJ 08755
Phone (732) 797-3883

1000 Galloping Hill Rd
Ste 305
Union, NJ 07083
Phone (908) 458-8330

3196 Kennedy Blvd
Union City, NJ 07087
Phone (201) 223-4949

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396180170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 E BAYAUD AVE APT 509",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093054",
            "telephone_number": "908-591-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 AURORA CT",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452517",
            "telephone_number": "720-848-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 N 39th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191042640",
            "country_code": "US",
            "telephone_number": "215-662-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAU",
        "first_name": "MARISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MT203472",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "DR.0058265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.