Provider Demographics
NPI:1912057555
Name:DAO PRIEST, THUY XUAN (OD)
Entity Type:Individual
Prefix:DR
First Name:THUY
Middle Name:XUAN
Last Name:DAO PRIEST
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 1:1850 BRIGHTON HENRIETTA TOWN LINE RD
Mailing Address - Street 2:C/O CREDENTIALING DEPARTMENT
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-2532
Mailing Address - Country:US
Mailing Address - Phone:585-452-8114
Mailing Address - Fax:585-452-8111
Practice Address - Street 1:1850 BRIGHTON HENRIETTA TOWN LINE RD
Practice Address - Street 2:EYE SERVICES
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-2532
Practice Address - Country:US
Practice Address - Phone:585-452-8181
Practice Address - Fax:585-452-8183
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV5361152W00000X, 156FC0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No156FC0800XEye and Vision Services ProvidersTechnician/TechnologistContact Lens
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY100184CSOtherPREFERRED CARE
NYNY5361OtherEXCELLUS
NYCC9436Medicare PIN
NY100184CSOtherPREFERRED CARE
NYAA1040Medicare PIN