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DR. KELLY LAO O.D.
NPI 1043406697
Optometrist in San Jose, CA

Active since September 18, 2007PECOS Enrolled
240 MERIDIAN AVE STE 1, SAN JOSE, CA 95126(408) 293-7576(408) 293-7579 Get Directions Write a Review

NPPES record last updated: September 18, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kelly Lao O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY LAO O.D. (NPI 1043406697) is an individual optometrist in San Jose, California, licensed in California (10646T) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1995).

NPPES Registry Identity

NPI1043406697
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KELLY LAOCredential: O.D.
Location Address240 MERIDIAN AVE STE 1San Jose, CA 95126-2927
Mailing Address240 Meridian Ave Ste 1San Jose, CA 95126-2927 · (408) 293-7576 · Fax (408) 293-7579
Phone(408) 293-7576
Fax(408) 293-7579
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 1995
Enumeration DateSeptember 18, 2007
✔ NPI 1043406697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 10646T
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
240 MERIDIAN AVE STE 1, San Jose, CA 95126
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Other Identifiers 2

Medicare PINSD0106461CA
Medicare UPINU60011CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly Lao O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749241057
PECOS Enrollment IDI20041020000859
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
176 services124 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
117 services114 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
83 services74 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
69 services68 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
50 services39 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
46 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95126 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Lao's NPI number?

The NPI number for Kelly Lao is 1043406697. It was assigned to this individual provider in the NPPES registry on September 18, 2007.

Where is Kelly Lao located?

Kelly Lao practices at 240 Meridian Ave Ste 1, San Jose, CA 95126. The listed phone number is (408) 293-7576.

What is Kelly Lao's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kelly Lao enrolled in Medicare?

Yes. Kelly Lao is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Lao accept?

Health plans from BlueCross BlueShield of Tennessee and Providence Health Plan list Kelly Lao as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Lao was last updated on September 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.