Provider Demographics
NPI:1619922093
Name:CAO, JAMES QUY (OD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:QUY
Last Name:CAO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:1809 BROOKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-1498
Mailing Address - Country:US
Mailing Address - Phone:972-569-7256
Mailing Address - Fax:972-459-2948
Practice Address - Street 1:2403 S STEMMONS FWY
Practice Address - Street 2:SUITE 113
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-8976
Practice Address - Country:US
Practice Address - Phone:972-459-2587
Practice Address - Fax:972-459-2948
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6827 TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist