IndividualActive
Jackson Lau, O.D.
NPI 1306903067 · Pediatric Optometrist · Beverly Hills, CA
Provider details
- NPI number
- 1306903067
- Entity type
- Individual
- Primary specialty
- Pediatric OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12975T (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
435 N Roxbury Dr Ste 310
Beverly Hills, CA 90210-5005
Phone: (310) 570-2508
Approximate (ZIP-level) locationGet directions
Mailing address
435 N Roxbury Dr Ste 310
Beverly Hills, CA 90210-5005
Registry dates
- Enumerated
- 2007-01-02
- Last updated
- 2022-04-22
- Certified
- 2022-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.