Individual provider Active NPI

Kathleen Lau Ngo, O.D.

  • Optometrist
  • Yuba City, CA
National Provider Identifier
1962457978
Registry record updated Aug 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11686T Issued in CA
Practice address
1641 Colusa Hwy Ste 100
Yuba City, CA 95993-9438
Phone
(530) 755-0222
Fax
(530) 790-0742
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11686T CA Primary

Addresses

Primary practice location

1641 Colusa Hwy Ste 100
Yuba City, CA 95993-9438

Mailing address

1641 Colusa Hwy Ste 100
Yuba City, CA 95993-9438
Phone (530) 755-0222

Other identifiers 1

IdentifierTypeStateIssuer
SD0116860OtherCAMEDICAL

Other names 1

  • Dr. Kathleen Ceya Lau Former name

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
I20070629000185 CA Practitioner - Optometry 7214036417 Receives reassigned benefits from 1 practitioner
Practice locations: Yuba City, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1641 Colusa Hwy
Suite 100
Yuba City, CA 95993-9438
Phone (530) 755-0222

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11686TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin T Donn DDS PC CurrentSince Jun 29, 2007 Accepting new patients
Three Rivers Optometric Group Inc Optometrist Past Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

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

Organizations & group practices 2

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598745600000",
    "number": "1962457978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 COLUSA HWY STE 100",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959939438",
            "telephone_number": "530-755-0222",
            "fax_number": "530-790-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 COLUSA HWY STE 100",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959939438",
            "telephone_number": "530-755-0222",
            "fax_number": "530-790-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "KATHLEEN",
        "middle_name": "LAU",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-30",
        "certification_date": "2020-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11686T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "SD0116860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "LAU",
            "middle_name": "CEYA",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yuba City, CA

Sources for this page

Verify at the official NPI Registry.