Provider Demographics
NPI:1518051200
Name:DAO, LYNDA M (OD)
Entity Type:Individual
Prefix:DR
First Name:LYNDA
Middle Name:M
Last Name:DAO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:4201 S COOPER ST
Mailing Address - Street 2:SUITE 737
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-4196
Mailing Address - Country:US
Mailing Address - Phone:817-419-8887
Mailing Address - Fax:800-551-9189
Practice Address - Street 1:4201 S COOPER ST
Practice Address - Street 2:SUITE 737
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-4196
Practice Address - Country:US
Practice Address - Phone:817-419-8887
Practice Address - Fax:800-551-9189
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXTX6208TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU91275Medicare UPIN