Provider Demographics
NPI:1134503055
Name:LAI, ECHO (OD)
Entity Type:Individual
Prefix:DR
First Name:ECHO
Middle Name:
Last Name:LAI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3251 20TH AVE
Mailing Address - Street 2:STE 231
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94132-1915
Mailing Address - Country:US
Mailing Address - Phone:415-564-7785
Mailing Address - Fax:415-564-7377
Practice Address - Street 1:685 MARKET ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-4200
Practice Address - Country:US
Practice Address - Phone:415-896-0680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-10
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15244152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist