Active NPI
Sophie K Dao, O.D.
- Optometrist
- Milpitas, CA
National Provider Identifier
1104896513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8213T
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12671 | Other | MEDICAL EYE SERVICES | |
| SD0082130 | Other | CA | MEDICAL PROVIDER ID |
| 51733 | Other | DAVIS VISION | |
| CA8213 | Other | CA | EYEMED PROVIDER ID |
| SD09818 | Other | CA | SPECTERA PROVIDER ID |
| 770485005 | Other | NATIONAL 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
| License | State | Type | Specialty |
|---|---|---|---|
| 8213T | CA | MD | Sports 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.