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NPI Code Detail

MEDICARE: DR. THUY XUAN DAO PRIEST OD

MEDICARE: DR. THUY XUAN DAO PRIEST OD
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
1152W00000XOptometristTUV5361NY
2156FC0800XContact Lens Technician/TechnologistTUV5361NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1100184CSOTHERNYPREFERRED CARE
2NY5361OTHERNYEXCELLUS

General Provider Information

NPI Number : 1912057555
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THUY XUAN DAO PRIEST OD
Provider Business Mailing Address
First Line : 1850 BRIGHTON HENRIETTA TOWN LINE RD
Second Line : C/O CREDENTIALING DEPARTMENT
City : ROCHESTER
State : NY
Zip : 14623-2532
Country : US
Telephone Number : 585-452-8114
Fax Number : 585-452-8111
Provider Business Practice Location Address
First Line : 1850 BRIGHTON HENRIETTA TOWN LINE RD
Second Line : EYE SERVICES
City : ROCHESTER
State : NY
Zip : 14623-2532
Country : US
Telephone Number : 585-452-8181
Fax Number : 585-452-8183
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2007
Last Update Date : 07/06/2011

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