DR. Ethan Dieu Ly, O.D.

NPI #1649290701 in Franklin, Tennessee

Provider Information

NPI Number: 1649290701
Entity Type: Individual
Name: DR. Ethan Dieu Ly, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 20, 2006
Last Updated: Oct 10, 2007

Practice Location

Address: 330 MAYFIELD DR
Address 2: SUITE D2
City: Franklin
State: Tennessee
ZIP Code: 37067-7203
Phone: (615) 771-1020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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