Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 8213T | CA |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 8213T | CA |
N | 152WP0200X | Pediatric Optomitrist | 8213T | CA |
N | 152WS0006X | Sports Vision | 8213T | CA |
N | 152WX0102X | Occupational Vision | 8213T | CA |
N | 156FC0800X | Contact Lens | 8213T | CA |
N | 156FC0801X | Contact Lens Fitter | 8213T | CA |
NPI | 1104896513 |
---|---|
Provider Name | Dr. Sophie K Dao |
First Address | Milpitas, CA 95035-6809 |
Second Address | Milpitas, CA 95035-6818 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2006 |
Last Update Date | 29/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
12671 | MEDICAL EYE SERVICES (01) | |
51733 | DAVIS VISION (01) | |
770485005 | NATIONAL VISION ADMINISTRATORS NETWORK (01) | |
CA8213 | EYEMED PROVIDER ID (01) | CA |
SD0082130 | MEDICAL PROVIDER ID (01) | CA |
SD09818 | SPECTERA PROVIDER ID (01) | CA |