Organization
JACKSON K LAU OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKSON LAU OD (PRESIDENT)
(310) 570-2508
Entity
Organization
Contact information
Practice address
435 N ROXBURY DR STE 310, BEVERLY HILLS, CA 90210-5005
(310) 570-2508
Mailing address
435 N ROXBURY DR STE 310, BEVERLY HILLS, CA 90210-5005
(310) 570-2508
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
Other
Enumeration date
07/16/2021
Last updated
04/12/2023
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