Individual provider Active NPI

Diana Ly, OD

  • Optometrist
  • Rosenberg, TX
National Provider Identifier
1538778907
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10033 Issued in TX
Practice address
23515 Brazos Town Crossing
Rosenberg, TX 77471
Phone
(346) 762-6076
NPI assigned
Jul 30, 2020
Last updated
Jan 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10033 TX Primary

Addresses

Primary practice location

23515 Brazos Town Crossing
Rosenberg, TX 77471

Mailing address

23515 Brazos Town Crossing
Rosenberg, TX 77471-4540
Phone (346) 762-6076

Other practice location 1

4011 Fm 1463 Rd
Katy, TX 77494-6839
Phone (281) 644-2020

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230211000195 TX Practitioner - Optometry 2466824826 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

11805 Westheimer Rd
Suite 300
Houston, TX 77077-6786
Phone (281) 496-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Swift Optometry Care PC Optometrist CurrentSince Dec 15, 2022 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Feb 25, 2023 Accepting new patients
National Vision Inc Optometrist CurrentSince Oct 10, 2021 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Jun 1, 2023 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Feb 25, 2023 Accepting new patients
Dianne Bui Dao OD PC Optometrist PastSince Apr 24, 2011 Accepting new patients
Pope Enterprises PLLC Optometrist Past Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients
National Vision, Inc. PastSince Aug 1, 2020 Accepting new patients

Locations

250 Skillman St
Ste 202
Brooklyn, NY 11205

3908 Far West Blvd
Austin, TX 78731
Phone (512) 343-0432

12320 Barker Cypress Rd
Ste 400
Cypress, TX 77429
Phone (281) 373-1020

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

1102 S Friendswood Dr
Ste A
Friendswood, TX 77546
Phone (281) 482-0066

3301 View St
Ft Worth, TX 76103
Phone (817) 531-3616

6850 N Shiloh Rd
Ste T
Garland, TX 75044
Phone (972) 414-0444

11805 Westheimer Rd
Ste 300
Houston, TX 77077
Phone (281) 496-0689

6127 FM 1960 Rd W
Houston, TX 77069
Phone (281) 469-2020

4011 FM 1463 Rd
Katy, TX 77494
Phone (281) 644-2020

2705 Broadway St
Ste 115
Pearland, TX 77581
Phone (281) 485-2020

23515 Brazos Town Xing
Rosenberg, TX 77471
Phone (346) 762-6076

670 E Southlake Blvd
Southlake, TX 76092
Phone (817) 329-6466

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 10

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": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1538778907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23515 BRAZOS TOWN CROSSING",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774714540",
            "telephone_number": "346-762-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23515 BRAZOS TOWN CROSSING",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "77471",
            "telephone_number": "346-762-6076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4011 Fm 1463 Rd",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774946839",
            "country_code": "US",
            "telephone_number": "281-644-2020",
            "fax_number": "281-574-8307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LY",
        "first_name": "DIANA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosenberg, TX

Sources for this page

Verify at the official NPI Registry.