Active NPI
Katherine Yueh-Mei Ly, O.D.
- Optometrist
- Silver Spring, MD
National Provider Identifier
1659412377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA1736
- Practice address
- 1347 Lamberton Dr
Silver Spring, MD 20902-3415 - Phone
- (301) 754-1347
- Fax
- (301) 754-1350
- NPI assigned
- Feb 8, 2007
- 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 | TA1736 | MD | Primary |
Addresses
Primary practice location
1347 Lamberton Dr
Silver Spring, MD 20902-3415
Mailing address
1347 Lamberton Dr
Silver Spring, MD 20902-3415
Phone (301) 754-1347
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TA1736 | Other | MD | OPTOMETRIST LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090204000138 | DC | Practitioner - Optometry | 2567526726 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1347 Lamberton Dr
Silver Spring, MD 20902-3415
Phone (301) 754-1347
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA1736 | MD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kemp Mill Optical LLC | Optometrist | Current | Accepting new patients |
Locations
1347 Lamberton Dr
Silver Spring, MD 20902
Phone (301) 754-1347
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235088000000",
"number": "1659412377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1347 LAMBERTON DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209023415",
"telephone_number": "301-754-1347",
"fax_number": "301-754-1350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1347 LAMBERTON DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209023415",
"telephone_number": "301-754-1347",
"fax_number": "301-754-1350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "KATHERINE",
"middle_name": "YUEH-MEI",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2009-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA1736",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTOMETRIST LICENSE",
"identifier": "TA1736",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.