National Provider Identifier

Phuoc Thi Ly, OD

Phuoc Thi Ly, OD is listed in the NPPES registry with a primary specialty of Optometrist in Rochester, NY and a listed phone number of (585) 227-7150.

NPI 1811956857Rochester, NYOptometrist

Profile Overview

NPI
1811956857
Provider Type
Individual
Primary Specialty
Optometrist
Enumeration Date
March 20, 2006
Last Updated
November 07, 2007

Practice Location

  • 2590 Ridge RD W
  • Empire Vision Centers
  • Rochester, NY 14626-3041

Phone: (585) 227-7150

Mailing Address

  • 2921 Erie Blvd East
  • Syracuse, NY 13224

Specialties

  • Optometrist (152W00000X)
Full Record
NPI
1811956857
Entity Type
Individual
Last Name
Ly
First Name
Phuoc
Middle Name
Thi
Name Prefix
Dr.
Credential
OD
Mailing Street Address
2921 Erie Blvd East
Mailing City
Syracuse
Mailing State
NY
Mailing ZIP Code
13224
Mailing Country
US
Mailing Phone
(315) 445-7465
Mailing Fax
(315) 445-7675
Practice Street Address
2590 Ridge RD W
Practice Address Line 2
Empire Vision Centers
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-3041
Practice Country
US
Practice Phone
(585) 227-7150
Practice Fax
(585) 227-1999
Enumeration Date
March 20, 2006
Last Updated
November 07, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optometrist (152W00000X)