Individual provider · Type 1 NPI
Michael Minh Ba Ly, D.O
Pediatric Optometrist · Moreno Valley, CA
NPI number
1013014794
Active
Practice location
22450 Town Cir
Moreno Valley, CA 92553-7506
Mailing address
4868 Golden Ridge Dr
Corona, CA 92880-9421
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | 11700T (CA) |
| Pediatric Optometrist Primary | 152WP0200X | 11700T (CA) |
Pediatric Optometrist: Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
About NPI 1013014794
Michael Minh Ba Ly, D.O's National Provider Identifier is 1013014794, issued on Sep 17, 2006. The primary taxonomy on file is Pediatric Optometrist (152WP0200X), and the practice location is in Moreno Valley, CA. The record was last updated on Sep 11, 2025.