Provider Demographics
NPI:1891304465
Name:KYI, LHAMO (OD)
Entity Type:Individual
Prefix:DR
First Name:LHAMO
Middle Name:
Last Name:KYI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2277 STATE RD UNIT F
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-7111
Mailing Address - Country:US
Mailing Address - Phone:508-888-6393
Mailing Address - Fax:508-833-3551
Practice Address - Street 1:2277 STATE RD UNIT F
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-7111
Practice Address - Country:US
Practice Address - Phone:508-888-6393
Practice Address - Fax:508-833-3551
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-29
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV009191152W00000X
MAOPT5582152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist