Active NPI
Phuoc Thi Ly, OD
- Optometrist
- Rochester, NY
National Provider Identifier
1811956857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV0069141
- Practice address
- 2590 Ridge Rd W
Empire Vision Centers
Rochester, NY 14626-3041 - Phone
- (585) 227-7150
- Fax
- (585) 227-1999
- NPI assigned
- Mar 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV0069141 | NY | Primary |
Addresses
Primary practice location
2590 Ridge Rd W
Empire Vision Centers
Rochester, NY 14626-3041
Mailing address
2921 Erie Blvd East
Syracuse, NY 13224
Phone (315) 445-7465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV0069141 | NY | MD | Optometrist |
| 006914 | NY | MD | Primary Podiatric Medicine Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194393600000",
"number": "1811956857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2921 ERIE BLVD EAST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13224",
"telephone_number": "315-445-7465",
"fax_number": "315-445-7675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2590 RIDGE RD W",
"address_2": "EMPIRE VISION CENTERS",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146263041",
"telephone_number": "585-227-7150",
"fax_number": "585-227-1999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "PHUOC",
"middle_name": "THI",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-20",
"last_updated": "2007-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV0069141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.