Healthcare Provider Details

I. General information

NPI: 1497323398
Provider Name (Legal Business Name): ALIN CAO OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2021
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 E ENNIS AVE
ENNIS TX
75119-4209
US

IV. Provider business mailing address

3411 TREE SHADOW LN
MIDLOTHIAN TX
76065-7182
US

V. Phone/Fax

Practice location:
  • Phone: 972-876-4005
  • Fax:
Mailing address:
  • Phone: 504-621-7384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number9956TG
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: