Van T. Ly Od Inc.

NPI #1811188980 in Sunland, California

Provider Information

NPI Number: 1811188980
Entity Type: Organization
Organization Name: Van T. Ly Od Inc.
Primary Specialty: Optometrist
Enumeration Date: Aug 5, 2007
Last Updated: Aug 5, 2007

Practice Location

Address: 8043 FOOTHILL BLVD
City: Sunland
State: California
ZIP Code: 91040-2957
Phone: (818) 353-7575

Authorized Official

Name: DR. VAN T. LY, OD
Title: OPTOMETRIST
Phone: (818) 353-7575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X
Optometrist - Low Vision Rehabilitation — Low Vision Rehabilitation	152WL0500X
Optometrist - Pediatrics — Pediatrics	152WP0200X

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