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General NPI Number Information
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NPI Number | 1376889667
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Entity Type | Organization
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Legal Business Name | B. Y. LAU OPTOMETRIC CORPORATION
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Dates
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Enumeration Date | 12/14/2012
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Last Update Date | 12/14/2012
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Provider Practice Location Address
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Address Line | 5515 GEARY BLVD
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City | SAN FRANCISCO
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State | CA
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Zip | 94121-2208
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Country | US
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Telephone | 415-387-3553
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Fax |
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Provider Business Mailing Address
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Address Line | 5515 GEARY BLVD
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City | SAN FRANCISCO
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State | CA
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Zip | 94121-2208
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Country | US
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Telephone | 415-387-3553
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BONNIE LAU
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Credential | O.D.
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Telephone | 415-387-3553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 13812
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License Number State | CA
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