Cam M Ly
Medical Specialty
Professional ID
- NPI: 1073966479
- PECOS ID: 6204122278
- Enrollment ID: I20161110001749
- Credential(MD, DO, DPM):
- Medical School: Southern California College Of Optometry
- Medical School Graduation Year: 2015
Medical Practices
- Organization Name: Standard Optical Co
- Group Practice ID assigned by PECOS: 8224921390
- Number of Group Practice member: 16
Location
- Address1: 1656 W 9000
- Address2:
- City: West Jordan
- State: Utah
- Zip Code: 84088
- Phone Number: (801)255-5454
Location
- Address1: 1901 W Pkwy Blvd
- Address2:
- City: Salt Lake City
- State: Utah
- Zip Code: 84119
- Phone Number: (801)972-0203
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):