Provider Demographics
NPI:1053794222
Name:DAO, THIEN-TRANG KATHERINE (OD)
Entity type:Individual
Prefix:DR
First Name:THIEN-TRANG
Middle Name:KATHERINE
Last Name:DAO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2202 N WEST SHORE BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-5747
Mailing Address - Country:US
Mailing Address - Phone:813-870-3937
Mailing Address - Fax:813-414-0073
Practice Address - Street 1:2202 N WEST SHORE BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-5747
Practice Address - Country:US
Practice Address - Phone:813-870-3937
Practice Address - Fax:813-414-0073
Is Sole Proprietor?:No
Enumeration Date:2015-07-07
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC005095152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist