MEDICARE: DR. JAMES QUY CAO 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	6827 TG	TX

General Provider Information

NPI Number	:	1619922093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES QUY CAO O.D.

Provider Business Mailing Address
First Line	:	1106 ELK TRL
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75007-1114
Country	:	US
Telephone Number	:	972-922-2141
Fax Number	:	972-352-5666

Provider Business Practice Location Address
First Line	:	5270 S STATE HIGHWAY 360
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-8307
Country	:	US
Telephone Number	:	972-606-4533
Fax Number	:	972-352-5666

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

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	04/24/2026

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