Lisa Kiu Law, M.D., PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

261290 Issued in NY

Legal business name

LISA KIU LAW, M.D., PLLC

Practice address

196 Canal St
# 2
New York, NY 10013-4562

Phone

(212) 227-1280

Fax

(212) 227-1270

NPI assigned

Jul 15, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Kiu Law, M.D.NPI 1407018294

Title

Owner

Phone

(212) 227-1280

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Kiu Law, MD

  • Ophthalmology Physician
  • New York, NY
  • NPI 1407018294
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1457792798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 CANAL ST",
            "address_2": "# 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134562",
            "telephone_number": "212-227-1280",
            "fax_number": "212-227-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 CANAL ST",
            "address_2": "# 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134562",
            "telephone_number": "212-227-1280",
            "fax_number": "212-227-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA KIU LAW, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "LAW",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "KIU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-227-1280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "261290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03750841",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "A100098254",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03681032",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lisa Lisa Inc.
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• Lisa Mennella Corp

• Ophthalmology Physician in New York, NY
• Providers in New York, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.