| Kelly Lao Od Apc | |
|
240 Meridian Ave, Ste 1, San Jose, CA 95126 | |
| (408) 293-7576 | |
| (408) 293-7579 |
| Full Name | Kelly Lao Od Apc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 240 Meridian Ave, San Jose, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215955141 | NPI | - | NPPES |
| SD0106460 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 10646T (California) | Primary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
| Provider Name | Kelly D Lao |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043406697 PECOS PAC ID: 0749241057 Enrollment ID: I20041020000859 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Lao Od Apc 240 Meridian Ave, Ste 1, San Jose, CA 95126 Ph: (408) 293-7576 | Kelly Lao Od Apc 240 Meridian Ave, Ste 1, San Jose, CA 95126 Ph: (408) 293-7576 |
Cyndi C Lee, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1558 S Bascom Ave, San Jose, CA 95125 Phone: 408-371-5180 | |
Christopher Ngo, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1080 S White Rd, A, San Jose, CA 95127 Phone: 408-272-3002 | |
Kari Tran, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2380 Montpelier Dr, Ste 300, San Jose, CA 95116 Phone: 408-272-3706 Fax: 408-254-4094 | |
Shinmori Optometry Optometrist Medicare: Medicare Enrolled Practice Location: 214 Jackson St, San Jose, CA 95112 Phone: 408-293-3730 Fax: 408-293-2131 | |
Dr. Duc Minh Bui, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4095 Evergreen Village Sq Ste 110, San Jose, CA 95135 Phone: 408-532-1308 | |
Ms. Cecilia K Imamura, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 55 E Julian St, San Jose, CA 95112 Phone: 408-918-2618 Fax: 408-795-1129 | |
Shirley Quicho, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 590 Blossom Hill Rd, San Jose, CA 95123 Phone: 408-227-2020 Fax: 206-338-0411 |