Provider Demographics
NPI:1750376620
Name:DAO, DAVID (OD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
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 1:13600 EAST FWY
Mailing Address - Street 2:STE A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015-5917
Mailing Address - Country:US
Mailing Address - Phone:713-842-3666
Mailing Address - Fax:713-451-4978
Practice Address - Street 1:13600 EAST FWY
Practice Address - Street 2:SUITE A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-5917
Practice Address - Country:US
Practice Address - Phone:713-451-4900
Practice Address - Fax:713-451-4978
Is Sole Proprietor?:No
Enumeration Date:2005-09-15
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6437TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX163629201Medicaid
TX163628402Medicaid
TX8B2596Medicare ID - Type UnspecifiedINDIVIDUAL
TX00880VMedicare ID - Type UnspecifiedGROUP
TX163629201Medicaid