Jessia T Ly OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JESSIA T LY OD INC

Practice address

618 W Huntington Dr
Monrovia, CA 91016-3206

Phone

(626) 303-1966

NPI assigned

Jun 14, 2024

Organization subpart

No

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

Authorized official

Name

Jessica T Ly, ODNPI 1851711139

Title

Ceo

Phone

(323) 719-1500

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jessica Trang Ly, O.D.

  • Optometrist
  • Monrovia, CA
  • NPI 1851711139
  NPD Authorized official

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1437992864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E DUARTE RD APT 4",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063973",
            "telephone_number": "323-719-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 W HUNTINGTON DR",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163206",
            "telephone_number": "626-303-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSIA T LY OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "LY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-719-1500",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paola Jerez
• Jasmine Jerkins
• Rachel Jerrell
• Dianne Jerry
• Jack Jeruzal
• Aaliyah Jett
• Heather Elizabeth Jett
• Mackenlee Jeune
• Muna Jeylani
• Virgie Jha

• Optometrist in Monrovia, CA
• Providers in Monrovia, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.