Ly, Van Tuyet
Ly, Van Tuyet is an sole proprietor health care provider with primary practice located at 16349 Harbor Blvd , Fountain Valley CA 92708-1311. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Ly, Van Tuyet can be contacted via phone (714) 839-2021.Contact Information
Primary practice address
16349 Harbor Blvd
Fountain Valley CA 92708-1311
Phone: (714) 839-2021
Fax: (714) 839-3918
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 10370T | California |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 10370T | California |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 10370T | California |
Profile Details
| NPI number | 1225171713 |
|---|---|
| LBN Legal business name | Ly, Van Tuyet |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Oct 16th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225171713 | NPPES |
| California | MEDICAID | SD0103700 |
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