Individual provider Active NPI

Trang Van Dao, O.D.

  • Optometrist
  • Anaheim, CA
National Provider Identifier
1942322011
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11049T Issued in CA
Practice address
8018 E Santa Ana Canyon Rd
Sutie 102
Anaheim, CA 92808-1102
Phone
(714) 282-9797
Fax
(714) 282-9798
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11049T CA Primary

Addresses

Primary practice location

8018 E Santa Ana Canyon Rd
Sutie 102
Anaheim, CA 92808-1102

Mailing address

8018 E Santa Ana Canyon Rd
Suite 102
Anaheim, CA 92808-1102
Phone (714) 282-9797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080202000070 CA Practitioner - Optometry 0749362499 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11049TCAMDOptometrist
11049CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Trang V. Dao, O.D., Inc. Optometrist CurrentSince Oct 1, 2007 Accepting new patients
Trang V. Dao, O.D., Inc. Optometrist CurrentSince Apr 30, 2003 Accepting new patients

Locations

8018 E Santa Ana Canyon Rd
Ste 102
Anaheim, CA 92808
Phone (714) 282-9797

Organizations & group practices 2

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1942322011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8018 E SANTA ANA CANYON RD",
            "address_2": "SUITE 102",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081102",
            "telephone_number": "714-282-9797",
            "fax_number": "714-282-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8018 E SANTA ANA CANYON RD",
            "address_2": "SUTIE 102",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081102",
            "telephone_number": "714-282-9797",
            "fax_number": "714-282-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAO",
        "first_name": "TRANG",
        "middle_name": "VAN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11049T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.