Provider Demographics
NPI:1932660974
Name:CAO, NHA (OD)
Entity Type:Individual
Prefix:
First Name:NHA
Middle Name:
Last Name:CAO
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 1:10149 N 92ND ST STE 102
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4557
Mailing Address - Country:US
Mailing Address - Phone:480-860-1330
Mailing Address - Fax:480-391-3903
Practice Address - Street 1:10149 N 92ND ST STE 102
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4557
Practice Address - Country:US
Practice Address - Phone:480-860-1330
Practice Address - Fax:480-391-9303
Is Sole Proprietor?:No
Enumeration Date:2019-03-30
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3016152W00000X
AZ2456152W00000X, 152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152W00000XEye and Vision Services ProvidersOptometrist