Provider Demographics
NPI:1548574361
Name:DAO, LIEN-THU VAN (OD)
Entity Type:Individual
Prefix:
First Name:LIEN-THU
Middle Name:VAN
Last Name:DAO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:59 WASHINGTON ST 1B
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01832-5523
Mailing Address - Country:US
Mailing Address - Phone:978-374-0386
Mailing Address - Fax:978-372-3631
Practice Address - Street 1:100 CHARLTON RD
Practice Address - Street 2:CENTER AT HOBBS BROOK
Practice Address - City:STURBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01566-1505
Practice Address - Country:US
Practice Address - Phone:508-347-3300
Practice Address - Fax:508-347-6303
Is Sole Proprietor?:No
Enumeration Date:2010-08-04
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4806152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist