MEDICARE: IDEAL EYE CARE, LLC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427532381
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IDEAL EYE CARE, LLC

Provider Business Mailing Address
First Line	:	912 S MISSOURI AVE
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33756-4298
Country	:	US
Telephone Number	:	614-284-3791
Fax Number	:

Provider Business Practice Location Address
First Line	:	912 S MISSOURI AVE
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33756-4298
Country	:	US
Telephone Number	:	614-284-3791
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	THIEN-TRANG KATHERINE DAO
Credential	:	OD
Telephone Number	:	727-443-7642

Provider Enumeration Date	:	09/17/2018
Last Update Date	:	12/11/2025

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Directions to “IDEAL EYE CARE, LLC ” Practice Location

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