Active NPI
Lauren Ly
- Optometrist
- Fresno, CA
National Provider Identifier
1801629381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 35821
- Practice address
- 5665 E Kings Canyon Rd Ste 103
Fresno, CA 93727-4658 - Phone
- (559) 538-1574
- NPI assigned
- Aug 21, 2024
- Last updated
- Aug 21, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 35821 | CA | Primary |
Addresses
Primary practice location
5665 E Kings Canyon Rd Ste 103
Fresno, CA 93727-4658
Mailing address
11215 N Alicante Dr Apt 304
Fresno, CA 93730-9781
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Vision Inc | Optometrist | Current | Accepting new patients |
Locations
5665 E Kings Canyon Rd
Ste 103
Fresno, CA 93727
Phone (559) 538-1574
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, 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": "1724198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1801629381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11215 N ALICANTE DR APT 304",
"city": "FRESNO",
"state": "CA",
"postal_code": "937309781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5665 E KINGS CANYON RD STE 103",
"city": "FRESNO",
"state": "CA",
"postal_code": "937274658",
"telephone_number": "559-538-1574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-21",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "35821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.