Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
V. T. LY OD INC
Active
Organization
V. T. LY OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAN T. LY OD (OPTOMETRIST)
(714) 839-2021
Entity
Organization
Contact information
Practice address
16341 HARBOR BLVD, FOUNTAIN VALLEY, CA 92708-1311
(714) 839-2021
(714) 839-3918
Mailing address
16341 HARBOR BLVD, FOUNTAIN VALLEY, CA 92708-1311
(714) 839-2021
(714) 839-3918
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10370T
CA
152WC0802X
Corneal and Contact Management Optometrist
10370T
CA
152WL0500X
Low Vision Rehabilitation Optometrist
10370T
CA
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up