Healthcare Provider Details

I. General information

NPI: 1427532381
Provider Name (Legal Business Name): IDEAL EYE CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2018
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

912 S MISSOURI AVE
CLEARWATER FL
33756-4298
US

IV. Provider business mailing address

912 S MISSOURI AVE
CLEARWATER FL
33756-4298
US

V. Phone/Fax

Practice location:
  • Phone: 614-284-3791
  • Fax:
Mailing address:
  • Phone: 614-284-3791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: THIEN-TRANG KATHERINE DAO
Title or Position: OWNER
Credential: OD
Phone: 727-443-7642