Van T. Ly Od Inc. is a
Optometrist based in Sunland, California. Van T. Ly Od Inc. is licensed to practice in California (license number 10370T) and their current practice location is
8043 Foothill Blvd, Sunland, California. It can be reached at their office (for appointments etc.) via phone at
(818) 353-7575.
NPI number for Van T. Ly Od Inc. is 1811188980 and their current mailing address is 8043 Foothill Blvd, Sunland, California. Van T. Ly Od Inc.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1811188980.
Healthcare Provider's Profile
| Full Name | Van T. Ly Od Inc. |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 8043 Foothill Blvd, Sunland, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811188980
- Provider Enumeration Date: 08/05/2007
- Last Update Date: 08/05/2007
Medical Identifiers
Medical identifiers for Van T. Ly Od Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811188980 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 10370T (California) | Primary |
| 152W00000X | Optometrist | 10812T (California) | Secondary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 10370T (California) | Secondary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 10812T (California) | Secondary |
| 152WL0500X | Optometrist - Low Vision Rehabilitation | 10370T (California) | Secondary |
| 152WL0500X | Optometrist - Low Vision Rehabilitation | 10812T (California) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | 10370T (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Van T. Ly Od Inc. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Van T. Ly Od Inc.
8043 Foothill Blvd,
Sunland, CA 91040-2957
Ph: (818) 353-7575 | Van T. Ly Od Inc.
8043 Foothill Blvd,
Sunland, CA 91040-2957
Ph: (818) 353-7575 |
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