Active NPI
Julie K Ly, OD
- Optometrist
- Katy, TX
National Provider Identifier
1376694240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6900TG
- Practice address
- 24502 Kingsland Blvd
Katy, TX 77494-3429 - Phone
- (281) 394-5006
- Fax
- (281) 589-0999
- NPI assigned
- Jan 16, 2007
- Last updated
- Mar 10, 2023
- 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 | 6900TG | TX | Primary |
Addresses
Primary practice location
24502 Kingsland Blvd
Katy, TX 77494-3429
Mailing address
24502 Kingsland Blvd
Katy, TX 77494-3429
Phone (832) 278-9793
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
24502 Kingsland Blvd
Katy, TX 77494-3429
Phone (281) 394-5006
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6900TG | TX | MD | Optometrist |
| 6900 | TX | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Julie K. Ly, OD and Associates | Optometrist | Current | Accepting new patients |
Locations
24502 Kingsland Blvd
Katy, TX 77494
Phone (281) 394-5006
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678406400000",
"number": "1376694240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24502 KINGSLAND BLVD",
"city": "KATY",
"state": "TX",
"postal_code": "774943429",
"telephone_number": "832-278-9793",
"fax_number": "281-589-0999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24502 KINGSLAND BLVD",
"city": "KATY",
"state": "TX",
"postal_code": "774943429",
"telephone_number": "281-394-5006",
"fax_number": "281-589-0999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "JULIE",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "6900TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.