Dr. Michael Minh Ba Ly
Optometrist Pediatric Optomitrist
22450 Town Cir
Moreno Valley
, California 92553-7506
Dr. Michael Minh Ba Ly
Optometrist Pediatric Optomitrist
22450 Town Cir
Moreno Valley
, California 92553-7506
(951) 898-3585
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About
Features
Specialties
- Optometrist
- Pediatric Optomitrist
Languages spoken
- English
Location
First Address
- Dr. Michael Minh Ba Ly
- 4868 Golden Ridge Dr
- Corona, CA
- Zip : 92880-9421
- Phone : (951) 898-3585
Second Address
- Dr. Michael Minh Ba Ly
- 22450 Town Cir
- Moreno Valley, CA
- Zip : 92553-7506
- Phone : (951) 653-1055
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 152W00000X | Optometrist | 11700T | CA |
| N | 152WP0200X | Pediatric Optomitrist | 11700T | CA |
National Provider Identifier
| NPI | 1013014794 |
|---|---|
| Provider Name | Dr. Michael Minh Ba Ly |
| First Address | Corona, CA 92880-9421 |
| Second Address | Moreno Valley, CA 92553-7506 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/09/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| CA1700 | EYEMED (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.