MEDICARE: THANH KIM DAU O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	10791T	TX

General Provider Information

NPI Number	:	1306146154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THANH KIM DAU O.D.

Provider Business Mailing Address
First Line	:	2825 OAK LAWN AVE UNIT 190102
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75219-4105
Country	:	US
Telephone Number	:	949-385-2684
Fax Number	:

Provider Business Practice Location Address
First Line	:	6850 N SHILOH RD STE T
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75044-2918
Country	:	US
Telephone Number	:	972-414-0444
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2010
Last Update Date	:	06/03/2025

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