MEDICARE: DR. SOPHIE KIEU-LIEN DAO-OPTOMETRY, INC.

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	8213T	CA

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
2	SD09818	OTHER	CA	SPECTERA
3	CA8213	OTHER	CA	EYEMED

General Provider Information

NPI Number	:	1831168459
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. SOPHIE KIEU-LIEN DAO-OPTOMETRY, INC.

Provider Business Mailing Address
First Line	:	991 MONTAGUE EXP
Second Line	:	STE #111
City	:	MILPITAS
State	:	CA
Zip	:	95035
Country	:	US
Telephone Number	:	408-262-1221
Fax Number	:	408-262-0789

Provider Business Practice Location Address
First Line	:	991 MONTAGUE EXPY
Second Line	:	STE #111
City	:	MILPITAS
State	:	CA
Zip	:	95035-6818
Country	:	US
Telephone Number	:	408-262-1221
Fax Number	:	408-262-0789

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	DR. SOPHIE DAO
Credential	:	OD
Telephone Number	:	408-262-1221

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	02/09/2012

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Directions to “DR. SOPHIE KIEU-LIEN DAO-OPTOMETRY, INC. ” Practice Location

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