V. T. Ly OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

10370T Issued in CA

Legal business name

V. T. LY OD INC

Practice address

16341 Harbor Blvd
Fountain Valley, CA 92708-1311

Phone

(714) 839-2021

Fax

(714) 839-3918

NPI assigned

Aug 8, 2007

Last updated

Aug 8, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Van T. Ly, ODNPI 1225171713

Title

Optometrist

Phone

(714) 839-2021

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Van Tuyet Ly, O.D.

  • Optometrist
  • Fountain Valley, CA
  • NPI 1225171713
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1750572244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16341 HARBOR BLVD",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081311",
            "telephone_number": "714-839-2021",
            "fax_number": "714-839-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16341 HARBOR BLVD",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081311",
            "telephone_number": "714-839-2021",
            "fax_number": "714-839-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V. T. LY OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "LY",
        "authorized_official_first_name": "VAN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "714-839-2021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10370T",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "10370T",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "10370T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• United Medical Imaging Healthcare Inc. (United Medical Imaging of Fountain Valley)
• United Medical Radiology Network (United Medical Radiology Network of Inglewood)
• University of California Irvine (UCI Health - Fountain Valley)
• Urgent Care of Fountain Valley
• Valerie Joy Hung Uy
• Suketu Vaishnav, MD
• Sharon Ann Valdes-Dolphin, M.A., CCC-SLP
• Katlin Marie Valencia
• Kyle Anthony Valencia
• Katherine Valente

• Optometrist in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.