MEDICARE: DR. DUY VY O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPC3386	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104952993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DUY VY O.D.

Provider Business Mailing Address
First Line	:	2933 E COLONIAL DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-5041
Country	:	US
Telephone Number	:	407-894-5441
Fax Number	:	407-894-1282

Provider Business Practice Location Address
First Line	:	2933 E COLONIAL DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-5041
Country	:	US
Telephone Number	:	407-894-5441
Fax Number	:	407-894-1282

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	09/18/2014

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