Provider Demographics
NPI:1609936137
Name:DAO, LAM N (OD)
Entity Type:Individual
Prefix:
First Name:LAM
Middle Name:N
Last Name:DAO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 MOHAWK DR
Mailing Address - Street 2:
Mailing Address - City:SEEKONK
Mailing Address - State:MA
Mailing Address - Zip Code:02771-5749
Mailing Address - Country:US
Mailing Address - Phone:401-439-9973
Mailing Address - Fax:401-826-4629
Practice Address - Street 1:222 JEFFERSON BLVD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02888-3855
Practice Address - Country:US
Practice Address - Phone:401-352-0202
Practice Address - Fax:401-738-2744
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIODT0470152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI2733-3OtherBLUE CROSS
RI2200407OtherUNITED HEALTH
RI401573OtherBLUE CHIP
RI401573OtherBLUE CHIP