Active NPI
Heang I Ly, O.D.
- Optometrist
- Los Angeles, CA
National Provider Identifier
1275820508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14195
- Practice address
- 4767 Whittier Blvd
Los Angeles, CA 90022-3027 - Phone
- (323) 263-9173
- NPI assigned
- Jul 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 14195 | CA | Primary |
Addresses
Primary practice location
4767 Whittier Blvd
Los Angeles, CA 90022-3027
Mailing address
7429 Hellman Ave
Rosemead, CA 91770-2213
Phone (626) 236-6136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484524800000",
"number": "1275820508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7429 HELLMAN AVE",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917702213",
"telephone_number": "626-236-6136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4767 WHITTIER BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900223027",
"telephone_number": "323-263-9173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "HEANG",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-07",
"last_updated": "2017-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.