Individual provider Active NPI

Thien-Trang Katherine Dao, O.D.

  • Optometrist
  • Clearwater, FL
National Provider Identifier
1053794222
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC005095 Issued in FL
Practice address
912 S Missouri Ave
Clearwater, FL 33756-4298
Phone
(614) 284-3791
NPI assigned
Jul 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC005095 FL Primary

Addresses

Primary practice location

912 S Missouri Ave
Clearwater, FL 33756-4298

Mailing address

1211 46TH Ave N
St Petersburg, FL 33703-4411
Phone (614) 284-3791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181214000687 FL Practitioner - Optometry 5395080618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ideal Eye Care, LLCGroup PAC ID 6406191717, 3 clinicians

Practice addresses (Care Compare)

912 S Missouri Ave
Clearwater, FL 33756-4298
Phone (727) 433-7642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC005095FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Eyecare, LLC Optometrist CurrentSince Nov 1, 2022 Accepting new patients
Medical Eye Associates of Tampa,P.a. PastSince May 29, 2013 Accepting new patients

Locations

2001 E Fowler Ave
Tampa, FL 33612
Phone (813) 972-3465

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1053794222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 46TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337034411",
            "telephone_number": "614-284-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 S MISSOURI AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337564298",
            "telephone_number": "614-284-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAO",
        "first_name": "THIEN-TRANG",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC005095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.