Provider Demographics
NPI:1407957350
Name:LAI, STEVEN S (OD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:S
Last Name:LAI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 W NORMAN AVE
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-8039
Mailing Address - Country:US
Mailing Address - Phone:626-574-9553
Mailing Address - Fax:626-574-8047
Practice Address - Street 1:419 N ATLANTIC BLVD STE 105
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-7702
Practice Address - Country:US
Practice Address - Phone:626-282-7579
Practice Address - Fax:626-282-6841
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOP9461T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0094610Medicaid
CAOP9461Medicare ID - Type UnspecifiedOPTOMETRY PROVIDER
CASD0094610Medicaid