Healthcare Provider Details

I. General information

NPI: 1346130747
Provider Name (Legal Business Name): LYNN GIAMAN DANG OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2025
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7300 WYNDHAM DR # 4913
SACRAMENTO CA
95823-4913
US

IV. Provider business mailing address

7300 WYNDHAM DR # 4913
SACRAMENTO CA
95823-4913
US

V. Phone/Fax

Practice location:
  • Phone: 916-525-6280
  • Fax:
Mailing address:
  • Phone: 916-955-1754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number36182
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: