Active NPI
Simon Lai, O.D.
- Optometrist
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14990
- Practice address
- 781 Vallejo St
San Francisco, CA 94133-3834 - Phone
- (415) 677-9930
- NPI assigned
- Jun 24, 2014
- Last updated
- Jun 24, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 14990 | CA | Primary |
Addresses
Primary practice location
781 Vallejo St
San Francisco, CA 94133-3834
Mailing address
1833 44TH Ave
San Francisco, CA 94122-4015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North East Medical Services | Current | Accepting new patients | |
| North East Medical Services | Current | Accepting new patients | |
| Crystal Clear Vision Center | Optometrist | Past | Accepting new patients |
| North East Medical Services | Past | Accepting new patients |
Locations
211 Eastmoor Ave
Daly City, CA 94015
Phone (650) 550-3923
1430 Noriega St
San Francisco, CA 94122
1520 Stockton St
San Francisco, CA 94133
2574 San Bruno Ave
San Francisco, CA 94134
Phone (415) 750-5909
82 Leland Ave
San Francisco, CA 94134
Phone (415) 391-9688
1870 Lundy Ave
San Jose, CA 95131
Phone (408) 573-9686
Interoperability endpoints
- slai18826@northeastmedicalservicesnems.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba North East Medical Services - Stockton
- Federally Qualified Health Center (FQHC)
- San Francisco, CA
- NPI 1518911304
-
dba NEMS - Story Road Pharmacy
- Community/Retail Pharmacy
- San Jose, CA
- NPI 1902616279
-
- Optometrist
- San Francisco, CA
- NPI 1386635266
-
- Federally Qualified Health Center (FQHC)
- San Francisco, CA
- NPI 1568174845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403568000000",
"number": "1710392204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1833 44TH AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941224015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "781 VALLEJO ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941333834",
"telephone_number": "415-677-9930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAI",
"first_name": "SIMON",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-24",
"last_updated": "2014-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.