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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACKSON LAU, O.D.

Active Sole Proprietor

DR. JACKSON LAU, O.D. is a Pediatric Optometrist healthcare provider located in BEVERLY HILLS, California. NPI 1306903067 is currently active in the NPPES registry. Verify at CMS.

Pediatric Optometrist · BEVERLY HILLS, CA

Registration Details

NPI Number
1306903067
Provider Type
Individual
Gender
Male
NPI Issued
Jan 2, 2007 (19.628011832304 yrs)
Last Updated
Apr 22, 2022
Licenses
12975T (CA)
OPT 12975 (CA)
Sole Proprietor
Yes

Practice Information

Address
435 N ROXBURY DR STE 310
BEVERLY HILLS, CA, 902105005
Browse CA providers · Browse ZIP 90210
Phone
3105702508
Primary Specialty
Pediatric Optometrist
152WP0200X
Additional Specialty
Pediatric Optometrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.