Individual provider Active NPI

Sophie K Dao, O.D.

  • Optometrist
  • Milpitas, CA
National Provider Identifier
1104896513
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8213T Issued in CA
Practice address
991 Montague Expy Ste 111
Milpitas, CA 95035-6818
Phone
(408) 262-1221
Fax
(408) 262-0789
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8213T CA Primary
Corneal and Contact Management Optometrist 152WC0802X 8213T CA
Pediatric Optometrist 152WP0200X 8213T CA
Sports Vision Optometrist 152WS0006X 8213T CA
Occupational Vision Optometrist 152WX0102X 8213T CA
Contact Lens Technician/Technologist 156FC0800X 8213T CA
Contact Lens Fitter 156FC0801X 8213T CA

Addresses

Primary practice location

991 Montague Expy Ste 111
Milpitas, CA 95035-6818

Mailing address

991 Montague Expy Ste 111
Milpitas, CA 95035-6809
Phone (408) 262-1221

Other identifiers 6

IdentifierTypeStateIssuer
12671OtherMEDICAL EYE SERVICES
SD0082130OtherCAMEDICAL PROVIDER ID
51733OtherDAVIS VISION
CA8213OtherCAEYEMED PROVIDER ID
SD09818OtherCASPECTERA PROVIDER ID
770485005OtherNATIONAL VISION ADMINISTRATORS NETWORK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8213TCAMDSports Vision Optometrist

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1104896513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 MONTAGUE EXPY STE 111",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356809",
            "telephone_number": "408-262-1221",
            "fax_number": "408-262-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 MONTAGUE EXPY STE 111",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356818",
            "telephone_number": "408-262-1221",
            "fax_number": "408-262-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAO",
        "first_name": "SOPHIE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8213T",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "8213T",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "8213T",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "CA",
            "license": "8213T",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "CA",
            "license": "8213T",
            "primary": false
        },
        {
            "code": "156FC0800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens",
            "state": "CA",
            "license": "8213T",
            "primary": false
        },
        {
            "code": "156FC0801X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "CA",
            "license": "8213T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES",
            "identifier": "12671",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROVIDER ID",
            "identifier": "SD0082130",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "51733",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED PROVIDER ID",
            "identifier": "CA8213",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA PROVIDER ID",
            "identifier": "SD09818",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL VISION ADMINISTRATORS NETWORK",
            "identifier": "770485005",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.