Provider Demographics
NPI:1831168459
Name:DR. SOPHIE KIEU-LIEN DAO-OPTOMETRY, INC.
Entity type:Organization
Organization Name:DR. SOPHIE KIEU-LIEN DAO-OPTOMETRY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SOPHIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:408-262-1221
Mailing Address - Street 1:991 MONTAGUE EXP
Mailing Address - Street 2:STE #111
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035
Mailing Address - Country:US
Mailing Address - Phone:408-262-1221
Mailing Address - Fax:408-262-0789
Practice Address - Street 1:991 MONTAGUE EXPY
Practice Address - Street 2:STE #111
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-6818
Practice Address - Country:US
Practice Address - Phone:408-262-1221
Practice Address - Fax:408-262-0789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-16
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8213T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0082130Medicaid
CASD09818OtherSPECTERA
CACA8213OtherEYEMED
CASD0082130Medicare ID - Type Unspecified
CASD09818OtherSPECTERA