Individual provider Active NPI

Janice Lim Lau, O.D.

  • Optometrist
  • San Diego, CA
National Provider Identifier
1952453300
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13037T Issued in CA
Practice address
12650 Sabre Springs Pkwy, #203
San Diego, CA 92128-4114
Phone
(858) 748-1265
Fax
(844) 269-9527
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 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 13037T CA Primary

Addresses

Primary practice location

12650 Sabre Springs Pkwy, #203
San Diego, CA 92128-4114

Mailing address

7261 Hamlet CT
San Diego, CA 92120-1925
Phone (619) 813-6593

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071022000425 CA Practitioner - Optometry 3375639305 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13037TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lau and Nguyen, Inc Optometrist CurrentSince Dec 1, 2015 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Feb 27, 2019 Accepting new patients
Family Health Centers of San Diego, Inc. CurrentSince Feb 27, 2019 Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Luxottica of America Inc. Past Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500

4725 Market St
San Diego, CA 92102
Phone (619) 515-2560

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

12650 Sabre Springs Pkwy
Ste 203
San Diego, CA 92128
Phone (858) 748-1265

Organizations & group practices 6

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1952453300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 HAMLET CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921201925",
            "telephone_number": "619-813-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12650 SABRE SPRINGS PKWY, #203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284114",
            "telephone_number": "858-748-1265",
            "fax_number": "844-269-9527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "JANICE",
        "middle_name": "LIM",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13037T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.