Individual
JACKLYN LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
11794 E COLONIAL DR, ORLANDO, FL 32817-4626
(407) 904-4431
Mailing address
11794 E COLONIAL DR, ORLANDO, FL 32817-4626
(407) 904-4431
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC6845
FL
Other
Enumeration date
09/29/2025
Last updated
01/20/2026
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