Organization Active NPI

David J Lau & Wesley S Umeda PTR

  • Eyewear Supplier
  • Fair Oaks, CA
National Provider Identifier
1578619615
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
8039TPL Issued in CA
Legal business name
DAVID J LAU & WESLEY S UMEDA PTR
Practice address
7547 Sunset Ave
Fair Oaks, CA 95628-4720
Phone
(916) 965-1017
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Dr. Wesley S Umeda, O.D.NPI 1174529721
Title
Partner
Phone
(916) 965-1017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 8039TPL CA Primary

Addresses

Primary practice location

7547 Sunset Ave
Fair Oaks, CA 95628-4720

Mailing address

7547 Sunset Ave
Fair Oaks, CA 95628-4720
Phone (916) 965-1017

Other names 1

  • Fair Oaks Optometry Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110103000053 CA Part B Supplier - Clinic/Group Practice 9830217744 Receives reassigned benefits from 2 practitioners
Practice locations: Fair Oaks, CA

National Provider Directory

National Provider Directory

Locations

7547 Sunset Ave
Fair Oaks, CA 95628
Phone (916) 965-1017

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1578619615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7547 SUNSET AVE",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284720",
            "telephone_number": "916-965-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7547 SUNSET AVE",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284720",
            "telephone_number": "916-965-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J LAU & WESLEY S UMEDA PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "UMEDA",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "916-965-1017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "8039TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fair Oaks Optometry Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.