Ly, Dat
Ly, Dat is an individual health care provider with primary practice located at 7924 S Broadway Ave Ste 200, Tyler TX 75703-5204. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ly, Dat can be contacted via phone (903) 617-6864.Contact Information
Primary practice address
7924 S Broadway Ave Ste 200
Tyler TX 75703-5204
Phone: (903) 617-6864
Fax: (903) 504-5758
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 6516T | Texas |
Profile Details
| NPI number | 1043276421 |
|---|---|
| LBN Legal business name | Ly, Dat |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Jan 11th, 2013 - about 13 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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