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Organization
VAN T. LY OD INC.
Active
Organization
VAN T. LY OD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAN T. LY OD (OPTOMETRIST)
(818) 353-7575
Entity
Organization
Contact information
Practice address
8043 FOOTHILL BLVD, SUNLAND, CA 91040-2957
(818) 353-7575
(818) 353-8925
Mailing address
8043 FOOTHILL BLVD, SUNLAND, CA 91040-2957
(818) 353-7575
(818) 353-8925
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10370T
CA
152W00000X
Optometrist
10812T
CA
152WC0802X
Corneal and Contact Management Optometrist
10370T
CA
152WC0802X
Corneal and Contact Management Optometrist
10812T
CA
152WL0500X
Low Vision Rehabilitation Optometrist
10370T
CA
152WL0500X
Low Vision Rehabilitation Optometrist
10812T
CA
152WP0200X
Pediatric Optometrist
10370T
CA
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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