Dr. Ethan Dieu Ly is a Franklin, Tennessee based male Optometrist with 23 years of experience in Optometry. He completed his graduation from Other in 2001. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Ethan Dieu Ly is 2251 for Optometry in Tennessee. Dr. Ethan Dieu Ly 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Ethan Dieu Ly speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
23+ years
Medical School Attended:
Other
Graduation Year:
2001
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
330 Mayfield Dr, Suite D2, Franklin, Tennessee, 37067-7203
Phone:
615-771-1020
Fax:
615-771-9263
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1153370218
Enrollment ID:
I20050114000876
NPI Number:
1649290701
NPI Enumeration Date:
20 Jul, 2006
NPI Last Update On:
10 Oct, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ethan Dieu Ly are as mentioned below.
License Number
Specialization
State
Status
2251
Optometry
Tennessee
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Ethan Dieu Ly has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Calvert Opthalmology Psc (5193740959)
6
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Ethan Dieu Ly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2694372
Other
Tennessee
CIGNA HEALTHCARE
4098341
Other
Tennessee
BCBS
2507272
Other
Tennessee
UNITED HEALTHCARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
330 Mayfield Dr, Suite D2 Franklin, Tennessee
Zip:
37067-7203
Phone Number:
615-771-1020
Fax Number:
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Patients can reach Dr. Ethan Dieu Ly at 330 Mayfield Dr, Suite D2, Franklin, Tennessee or can call to book an appointment on 615-771-1020. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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