Provider Demographics
NPI:1659671584
Name:LAU, ERIC W (OD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:W
Last Name:LAU
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 1:37 CATHERINE ST
Mailing Address - Street 2:APT 2AB
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10038-1048
Mailing Address - Country:US
Mailing Address - Phone:646-338-0824
Mailing Address - Fax:
Practice Address - Street 1:37 CATHERINE ST
Practice Address - Street 2:APT 2AB
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10038-1048
Practice Address - Country:US
Practice Address - Phone:646-338-0824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007651152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist