# TINA DAO OD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fountain Valley Optometry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316257504
- **Authorized official:** DR. TINA U. DAO O.D. (PRESIDENT)
- **Authorized official phone:** (714) 210-2393

## Contact information

- **Practice address:** 16027 BROOKHURST STREET, SUITE E, FOUNTAIN VALLEY, CA 92708
- **Practice address phone:** (714) 210-2393
- **Practice address fax:** (714) 531-5507
- **Mailing address:** 16027 BROOKHURST STREET, SUITE E, FOUNTAIN VALLEY, CA 92708
- **Mailing address phone:** (714) 210-2393
- **Mailing address fax:** (714) 531-5507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | 11123T | CA | Yes |

## Other

- **Enumeration date:** 10/21/2010
- **Last updated:** 12/09/2010