MEDICARE: DR. FRANKLIN YOW PUNG LAU O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OD175	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	OD175	OTHER	HI	TRICARE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0000012633	OTHER	HI	HAWAII MEDICAL SERVICE ASSOCIATION

General Provider Information

NPI Number	:	1134254766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANKLIN YOW PUNG LAU O.D.

Provider Business Mailing Address
First Line	:	4211 WAIALAE AVE
Second Line	:	SUITE 108
City	:	HONOLULU
State	:	HI
Zip	:	96816-5319
Country	:	US
Telephone Number	:	808-737-5811
Fax Number	:	808-737-7971

Provider Business Practice Location Address
First Line	:	4211 WAIALAE AVE
Second Line	:	SUITE 108
City	:	HONOLULU
State	:	HI
Zip	:	96816-5319
Country	:	US
Telephone Number	:	808-737-5811
Fax Number	:	808-737-7971

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	04/29/2011

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