Provider Demographics
NPI:1356120919
Name:PAUL LAU, OD AND MAGGIE MAN KI HO, OD, MS, FAAO, LLC
Entity type:Organization
Organization Name:PAUL LAU, OD AND MAGGIE MAN KI HO, OD, MS, FAAO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:LAU
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:510-612-4966
Mailing Address - Street 1:9640 SW WASHINGTON SQUARE RD SPC G11
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-4451
Mailing Address - Country:US
Mailing Address - Phone:510-612-4966
Mailing Address - Fax:
Practice Address - Street 1:9640 SW WASHINGTON SQUARE RD SPC G11
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-4451
Practice Address - Country:US
Practice Address - Phone:510-612-4966
Practice Address - Fax:971-386-1104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty