Individual
DR. ETHAN DIEU LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
330 MAYFIELD DR, SUITE D2, FRANKLIN, TN 37067-7203
(615) 771-1020
(615) 771-9263
Mailing address
330 MAYFIELD DR, SUITE D2, FRANKLIN, TN 37067-7203
(615) 771-1020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2251
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2507272
UNITED HEALTHCARE
TN
01
—
2694372
CIGNA HEALTHCARE
TN
01
—
4098341
BCBS
TN
Enumeration date
07/20/2006
Last updated
10/10/2007
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