Individual provider Active NPI

Katherine Yueh-Mei Ly, O.D.

  • Optometrist
  • Silver Spring, MD
National Provider Identifier
1659412377
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1736 Issued in MD
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

Updated by the provider on Feb 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
TA1736OtherMDOPTOMETRIST 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
TA1736MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kemp Mill Optical LLC Optometrist CurrentSince Dec 1, 2008 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

Verify at the official NPI Registry.