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KELLY LAO OD APC
NPI 1215955141
Optometrist in San Jose, CA

Active since July 18, 2006
240 MERIDIAN AVE, STE 1, SAN JOSE, CA 95126(408) 293-7576(408) 293-7579 Get Directions Write a Review

NPPES record last updated: March 28, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kelly Lao Od Apc NPPES

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

KELLY LAO OD APC (NPI 1215955141) is a healthcare organization registered as an optometrist in San Jose, California and active in the NPI registry since July 2006. The organization lists Kelly Lao Seng, President, as its authorized official.

NPPES Registry Identity

NPI1215955141
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameKELLY LAO OD APC
Location Address240 MERIDIAN AVE, STE 1San Jose, CA 95126
Mailing Address240 Meridian Ave, Ste 1San Jose, CA 95126 · (408) 293-7576 · Fax (408) 293-7579
Phone(408) 293-7576
Fax(408) 293-7579
Organization SubpartNo
Authorized OfficialKelly Lao SengPresident · (408) 293-7576
Enumeration DateJuly 18, 2006
Last NPPES UpdateMarch 28, 2008
✔ NPI 1215955141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedEyewear SupplierTaxonomy 332H00000X
240 MERIDIAN AVE, San Jose, CA 95126
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Other Identifiers 3

Medicare PINZZZ30959ZCA
Medicare NSC5279240001CA
MedicaidSD0106460CA

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Lao Od Apc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20041018000385Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kelly Lao Od Apc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kelly Lao, O.D.
Optometry
NPI 1043406697
240 MERIDIAN AVE STE 1
San Jose, CA 95126
(408) 293-7576
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Od Apc's NPI number?

The NPI number for Kelly Lao Od Apc is 1215955141. It was assigned to this organization in the NPPES registry on July 18, 2006.

Where is Kelly Lao Od Apc located?

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

What is Kelly Lao Od Apc's specialty?

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

Is Kelly Lao Od Apc enrolled in Medicare?

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

When is Kelly Lao Od Apc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kelly Lao Od Apc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Kelly Lao Od Apc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Lao Od Apc was last updated on March 28, 2008. 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.