Dr. Susan Ly O.D. and Associates PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002157 Issued in VA

Legal business name

DR. SUSAN LY O.D. AND ASSOCIATES PLLC

Practice address

6411 Edsall Rd
Alexandria, VA 22312-6411

Phone

(703) 338-8444

NPI assigned

Jun 15, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Ly, O.D.NPI 1154686889

Title

Owner

Phone

(703) 338-8444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Ly, DR.

  • Optometrist
  • Chantilly, VA
  • NPI 1154686889

  DC

  Medicare reassignment Authorized official
• Julia Lam, OD

  • Optometrist
  • Chantilly, VA
  • NPI 1710503198
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1144670530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6411 EDSALL RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223126411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 EDSALL RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223126411",
            "telephone_number": "703-338-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SUSAN LY O.D. AND ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "LY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-338-8444",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Farhan M. Qureshi DDS PC
• Dr. Jeanne M. Miller, PH.D., PLLC
• Dr. Kim Ierna Kitchen, P.C.
• Dr. Lauren Fisher, PSYD, PLLC
• Dr. Sean T. Woods, PLLC
• Dr. Tony Truvan Dentistry PLLC
• Dr. Voorthuis, O.D. and Associates, P.C.
• Dr.Joseph Esposito, PC
• Angela Drake, RN
• Darby Drake, RBT

• Optometrist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.