Individual
CHRIS LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1030 NORWOOD PARK BLVD, SUITE #A, AUSTIN, TX 78753-6600
(512) 491-9707
Mailing address
1030 NORWOOD PARK BLVD, SUITE #A, AUSTIN, TX 78753-6600
(512) 491-9707
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6229TG
TX
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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