Active NPI
Paul Lau, OD
- Optometrist
- Beaverton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4609
- Practice address
- 3205 SW Cedar Hills Blvd Ste 9
Beaverton, OR 97005-1347 - Phone
- (971) 348-3178
- Fax
- (503) 350-3944
- NPI assigned
- Jun 24, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3028 | OK | |
| Optometrist | 152W00000X | 8737T | TX | |
| Optometrist | 152W00000X | 4609 | OR | Primary |
Addresses
Primary practice location
3205 SW Cedar Hills Blvd Ste 9
Beaverton, OR 97005-1347
Mailing address
8150 SW Barnes Rd Apt J208
Portland, OR 97225-6379
Phone (510) 612-4966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00E63G | Other | TX | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4609 | OR | MD | Optometrist |
| 8737T | TX | MD | Optometrist |
| 3028 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of the Incarnate Word | Optometrist | Current | Accepting new patients |
| Anthony T. Pham, O.D., P.C. | Optometrist | Current | Accepting new patients |
| Nancy El-Hitamy Amir, | Current | Accepting new patients | |
| Pacific Eye Group, PC | Optometrist | Current | Accepting new patients |
| Paul Lau, OD and Maggie Man Ki Ho, OD, Ms, Faao, LLC | Optometrist | Current | Accepting new patients |
| University of the Incarnate Word | Current | Accepting new patients | |
| Newview Oklahoma Inc. | Optometrist | Past | Accepting new patients |
Locations
3360 N Ave
Bldg 685
Tinker AFB, OK 73145
Phone (405) 455-2587
3205 SW Cedar Hills Blvd
Ste 9
Beaverton, OR 97005
Phone (503) 643-4840
63455 N Highway 97
Ste 75
Bend, OR 97703
Phone (541) 388-7906
970 NW Eastman Pkwy
Gresham, OR 97030
Phone (503) 666-7460
9725 Datapoint Dr
San Antonio, TX 78229
Phone (210) 283-6800
9577 Huebner Rd
Ste 4
San Antonio, TX 78240
Phone (210) 228-0030
9725 Datapoint Dr
#69
San Antonio, TX 78229
Phone (210) 283-6800
Organizations & group practices 7
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.
-
- Optometrist
- Bend, OR
- NPI 1831656925
-
- Optometrist
- Tinker Afb, OK
- NPI 1033253703
-
- Low Vision Rehabilitation Optometrist
- San Antonio, TX
- NPI 1962615195
-
- Optometrist
- San Antonio, TX
- NPI 1003129784
-
- Optometrist
- Tigard, OR
- NPI 1356120919
-
- Family Nurse Practitioner
- San Antonio, TX
- NPI 1033591706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645401600000",
"number": "1629450796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8150 SW BARNES RD APT J208",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256379",
"telephone_number": "510-612-4966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3205 SW CEDAR HILLS BLVD STE 9",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970051347",
"telephone_number": "971-348-3178",
"fax_number": "503-350-3944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAU",
"first_name": "PAUL",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-24",
"last_updated": "2022-02-21",
"certification_date": "2022-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "3028",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "8737T",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "4609",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "00E63G",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.