Provider Demographics
NPI:1790842920
Name:DAO, LINH H (OD)
Entity Type:Individual
Prefix:DR
First Name:LINH
Middle Name:H
Last Name:DAO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9265 E BASELINE RD
Mailing Address - Street 2:STE. 102
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85209-8312
Mailing Address - Country:US
Mailing Address - Phone:480-354-4030
Mailing Address - Fax:480-354-4492
Practice Address - Street 1:9265 E BASELINE RD
Practice Address - Street 2:STE. 102
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85209-8312
Practice Address - Country:US
Practice Address - Phone:480-354-4030
Practice Address - Fax:480-354-4492
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1133152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ616534Medicaid
AZ616534Medicaid
AZU94958Medicare UPIN