Active NPI
Spencer Lau, O.D.
- Optometrist
- Menlo Park, CA
National Provider Identifier
1740351105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10360T
- Practice address
- 811 Santa Cruz Ave
Menlo Park, CA 94025-4609 - Phone
- (650) 326-2177
- Fax
- (650) 326-8154
- NPI assigned
- Nov 10, 2006
- 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 | 10360T | CA | Primary |
Addresses
Primary practice location
811 Santa Cruz Ave
Menlo Park, CA 94025-4609
Mailing address
811 Santa Cruz Ave
Menlo Park, CA 94025-4609
Phone (650) 326-2177
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060405000633 | CA | Practitioner - Optometry | 8729097514 | Practice locations: Menlo Park, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10360 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 10360T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740351105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 SANTA CRUZ AVE",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254609",
"telephone_number": "650-326-2177",
"fax_number": "650-326-8154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 SANTA CRUZ AVE",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254609",
"telephone_number": "650-326-2177",
"fax_number": "650-326-8154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAU",
"first_name": "SPENCER",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "10360T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.