Dat Ly, O.D.

NPI #1043276421 in Tyler, Texas

Provider Information

NPI Number: 1043276421
Entity Type: Individual
Name: Dat Ly, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Apr 25, 2006
Last Updated: Jan 11, 2013

Practice Location

Address: 7924 S BROADWAY AVE
Address 2: STE 200
City: Tyler
State: Texas
ZIP Code: 75703-5204
Phone: (903) 617-6864

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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