Individual provider Active NPI

Yupheng Ly, O.D.

  • Optometrist
  • Hickory, NC
National Provider Identifier
1417265976
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2206 Issued in NC
Practice address
2339 US Highway 70 SE
Hickory, NC 28602-8300
Phone
(919) 608-2579
NPI assigned
Sep 17, 2010
Last updated
Mar 28, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2206 NC Primary

Addresses

Primary practice location

2339 US Highway 70 SE
Hickory, NC 28602-8300

Mailing address

2339 US Highway 70 SE
Hickory, NC 28602-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101014000978 NC Practitioner - Optometry 0749472330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Elite Family Eye Care, OD, PLLCGroup PAC ID 6800038332, 2 clinicians
Precision Eye Center OD PLLCGroup PAC ID 5890062780, 2 clinicians

Practice addresses (Care Compare)

2339 US Hwy 70 SE
Hickory, NC 28602-8300
Phone (828) 569-1037

789 Concord Pkwy N
Concord, NC 28027-6035
Phone (704) 788-3333

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Family Eye Care, OD, PLLC Optometrist CurrentSince Jan 1, 2013 Accepting new patients
Precision Eye Center, OD, PLLC Optometrist CurrentSince Jan 4, 2017 Accepting new patients
David M Reynolds OD PC Optometrist PastSince Jan 4, 2017 Accepting new patients
Carlyle Dukes Haywood Jr Optometrist Past Accepting new patients

Locations

789 Concord Pkwy N
Concord, NC 28027
Phone (704) 788-3333

2339 US Highway 70 SE
Hickory, NC 28602
Phone (828) 569-1037

2340 15th Ave SE
Ste 101
Hickory, NC 28602
Phone (828) 569-1037

Interoperability endpoints

  • Direct secure messaging: drly@direct.revolutionehr.com

Organizations & group practices 4

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": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1417265976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2339 US HIGHWAY 70 SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286028300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 US HIGHWAY 70 SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286028300",
            "telephone_number": "919-608-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "YUPHENG",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-17",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.