Individual provider Active NPI

Tiffany Lau, OD

  • Optometrist
  • Huntsville, AL
National Provider Identifier
1457877375
Registry record updated Aug 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-D98-TA-A99 Issued in AL
Practice address
3030 Memorial Pkwy SW
Huntsville, AL 35801-5372
Phone
(256) 883-8338
NPI assigned
Aug 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-D98-TA-A99 AL Primary

Addresses

Primary practice location

3030 Memorial Pkwy SW
Huntsville, AL 35801-5372

Mailing address

1013 Peach Blossom
Windsor, ONTARIO N9G 2R5
CA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240708003982 CO Practitioner - Optometry 7315482957 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-D98-TA-A99ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Vision Care Colorado LLC Optometrist CurrentSince May 26, 2024 Accepting new patients
America'S Best Contacts & Eyeglasses Past Accepting new patients

Locations

2795 Pearl St
Ste 100
Boulder, CO 80302
Phone (303) 444-1211

8441 S Yosemite St
Ste 2
Lone Tree, CO 80124
Phone (303) 768-8721

316 S Hamilton Rd
Gahanna, OH 43230

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503360000000",
    "number": "1457877375",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "1013 PEACH BLOSSOM",
            "city": "WINDSOR",
            "state": "ONTARIO",
            "postal_code": "N9G 2R5"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 MEMORIAL PKWY SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015372",
            "telephone_number": "256-883-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "TIFFANY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2017-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-D98-TA-A99",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.