Alexandra Ly, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7000TG Issued in TX

Practice address

3425 Grande Bulevar
Irving, TX 75062

Phone

(972) 639-5836

NPI assigned

Apr 5, 2007

Last updated

Jun 28, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kudo Care Eye Center PLLC

  • Ophthalmology Physician
  • Irving, TX
  • NPI 1477417681

  Optometrist

  Medicare reassignment NPD Authorized official
• Kudo Care Optometry PLLC

  dba Kudo Care

  • Optometrist
  • Irving, TX
  • NPI 1407385388
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1477675817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 GRANDE BULEVAR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625108",
            "telephone_number": "972-639-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 GRANDE BULEVAR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75062",
            "telephone_number": "972-639-5836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5330 Fm 1640 Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774695435",
            "country_code": "US",
            "telephone_number": "281-342-9922",
            "fax_number": "281-342-9923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5330 Fm 1640 Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774695435",
            "country_code": "US",
            "telephone_number": "281-342-9922",
            "fax_number": "281-342-9923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LY",
        "first_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-05",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7000TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Luthye, P.T.
• Lux Physicians Group, PLLC
• Luxottica of America Inc. (Target Optical #6731)
• Luxottica Retail North America Inc (Sears Optical #1720)
• Thida Lwin, M.D.
• Kevin Ly, RPH
• Linh Ly, OD
• Paul Daniel Lyde, MD
• Emily Lydick, NP
• Anna-Katherine Lynch, RDN, LD

• Optometrist in Irving, TX
• Providers in Irving, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.

Verify at the official NPI Registry.