Organization
ILY OPTOMETRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD LY O.D. (PRESIDENT)
(301) 801-5799
Entity
Organization
Contact information
Practice address
100 NEWPARK MALL, NEWARK, CA 94560-5252
(510) 745-9030
Mailing address
4675 AMIENS AVE, FREMONT, CA 94555-2519
(301) 801-5799
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13673T
CA
Other
Enumeration date
03/28/2007
Last updated
01/29/2013
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