DR. VAN B. LY (NPI# 1386836591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386836591 |
| Entity Type | Individual |
| Full Name | DR. VAN B. LY |
| Other Name | DR. VAN B LY-REYES |
| Credential | O.D. |
| Practice Address |
319 7th Ave Se Suite #101 Olympia WA 98501-1325 |
| Practice Telephone | 3603572544 |
| Practice Fax Number | 3607868734 |
| Mailing Telephone | 3603572544 |
| Mailing Fax Number | 3607868734 |
| Enumeration Date | 2007-08-11 |
| Last Update Date | 2015-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 60013431 | WA | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 3211ATI | OR | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225171713 | Van Tuyet Ly | Optometrist | 16349 Harbor Blvd, Fountain Valley, CA 92708-1311 | 2007-02-14 |
| 1215484498 | Van T. Ly | Counselor | 4423 Fortran Ct Ste 136, San Jose, CA 95134-2318 | 2016-09-06 |
| Street Address |
319 7TH AVE SE SUITE #101 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98501-1325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154585024 | Van B. Ly, LLC | Clinic/Center | 319 7th Ave Se, Suite #101, Olympia, WA 98501-1325 | 2008-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124651880 | Marie T Bendig | Counselor | 900 Fairview St Se, #b5, Olympia, WA 98501 | 2020-02-20 |
| 1205469970 | Thurston County Fire Protection Dist 6 | Ambulance | 8047 Normandy St. Se, Olympia, WA 98501 | 2020-02-20 |
| 1134768799 | Living Sound Therapeutic Services, Pllc | Counselor | 729 Devoe St Se, Olympia, WA 98501 | 2019-12-31 |
| 1336797273 | Sea-mar Community Health Center | Dentist | 6004 Capitol Ave Sw, Tumwater, WA 98501 | 2019-09-03 |
| 1093272841 | Eye Love Pllc | Optometrist | 3409 Capitol Blvd Se, Tumwater, WA 98501 | 2019-02-28 |
| 1356815062 | Kerri Wright | Marriage & Family Therapist | 208 Lee St Sw Ste 108, Tumwater, WA 98501 | 2019-01-15 |
| 1952881161 | Paige Gautreaux | Peer Specialist | 908 5th Avenue Se, Olympia, WA 98501 | 2018-08-16 |
| 1548773997 | Carla Van Dam | Psychologist | 2620 Rw Johnson Blvd Sw Suite 204, Tumwater, WA 98501 | 2017-11-08 |
| 1528577202 | Ronald John San Nicolas | Counselor | 1011 10th Ave, Olympia, WA 98501 | 2017-09-25 |
| 1063964187 | Emily Rapesak | Pharmacist | 500 Cleveland Ave Se, Tumwater, WA 98501 | 2016-10-25 |
| Find all providers in zip 98501 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649571118 | Brian Paul Finley | Optometrist | 3612 Wesley Dr Nw, Olympia, WA 98502-3746 | 2010-11-15 |
| 1811015688 | Richard Duane Hehn | Optometrist | 651 Sleater Kinney Se, Suite 1300, Olympia, WA 98503 | 2007-03-27 |
| 1205961836 | Kornmesser Optometry Clinic Inc Ps | Optometrist | 1405 Harrison Ave Nw Ste 101, Olympia, WA 98502-5327 | 2007-02-23 |
| 1881754182 | Dr. Kimberly Carr-yeates, O.d., P.s. | Optometrist | 625 Black Lake Blvd Sw Ste 369, Olympia, WA 98502-8606 | 2006-12-11 |
| 1275609463 | Ben Harold Wong Jr. | Optometrist | 1940 Black Lake Blvd Sw, Olympia, WA 98512-5651 | 2006-11-28 |
| 1851402085 | Kenneth Douglas Common | Optometrist | 625 Black Lake Blvd Sw, Suite #110, Olympia, WA 98502-5066 | 2006-08-31 |
| 1407963770 | Reid I Mamiya | Optometrist | 115 New View Ct Ne, Olympia, WA 98506-5250 | 2006-08-24 |
| 1508894007 | Susan M Dini | Optometrist | 2939 Benjamin Ct Se, Olympia, WA 98501-4807 | 2006-06-30 |
| 1770560708 | Michael D Moore | Optometrist | 2600 Martin Way E, Ste C, Olympia, WA 98506-4974 | 2005-12-30 |
| 1114903937 | Kimberly A Carr-yeates | Optometrist | 1510 Cooper Point Rd Sw, Ste 110, Olympia, WA 98502-5734 | 2005-12-22 |
| Find all providers in OLYMPIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.