Kelly Lao Od Apc
LBN: Kelly Lao Od Apc
Kelly Lao Od Apc is an health care organization with primary practice located at 240 Meridian Ave Ste 1, San Jose CA 95126. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Kelly Lao Od Apc can be contacted via phone (408) 293-7576, or through Seng, Kelly Lao via phone (408) 293-7576.
Contact Information
Primary practice address
240 Meridian Ave Ste 1
San Jose CA 95126
Phone: (408) 293-7576
Fax: (408) 293-7579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 10646T | California |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1215955141 |
|---|---|
| LBN Legal business name | Kelly Lao Od Apc |
| DBA Doing business as | |
| Authorized official | Seng, Kelly Lao Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Mar 28th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215955141 | NPPES |
| California | MEDICAID | SD0106460 |
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