Ly, Susan
Ly, Susan is an individual health care provider with primary practice located at 14391 Chantilly Crossing Ln , Chantilly VA 20151-2118. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Ly, Susan can be contacted via phone (703) 817-0748.Contact Information
Primary practice address
14391 Chantilly Crossing Ln
Chantilly VA 20151-2118
Phone: (703) 817-0748
Fax: (703) 817-0748
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TA2308 | Maryland |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0618002157 | Virginia |
Profile Details
| NPI number | 1154686889 |
|---|---|
| LBN Legal business name | Ly, Susan |
| Credentials | DR. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2012 |
| Last updated | Feb 22nd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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