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NPI Code Detail

MEDICARE: DUY VY OD PA

MEDICARE: DUY VY OD PA
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
1152W00000XOptometristOPC3386FL

Other Identifiers

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

General Provider Information

NPI Number : 1992028609
Entity Type Code : Organization
Provider Name (Legal Business Name) : DUY VY OD PA
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 :
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 :
Authorized Official
Title or Position : PRESIDENT
Name : DR. DUY VY
Credential : O.D.
Telephone Number : 407-894-5441
Provider Enumeration Date : 03/09/2010
Last Update Date : 06/09/2010

Similar Medicare Providers

1104952993 — DR. DUY VY O.D.
Practice Location Address:
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Directions to “DUY VY OD PA ” Practice Location

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