Hieu Minh Ly, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 14480 TLG Issued in CA

Practice address

521 S Ham LN
Lodi, CA 95242-3528

Phone

(209) 334-5886

NPI assigned

Aug 2, 2012

Sex

Male

Sole proprietor

Yes

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 CA

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

Pennsylvania College of Optometry, 2012

Medicare assignment

May accept Medicare assignment

Group practices

River City Doctors of Optometry IncGroup PAC ID 4183874274, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Rivercity Doctors of Optometry Inc.

  • Optometrist
  • Sacramento, CA
  • NPI 1578814430
  Medicare reassignment Care Compare group NPD
• Delta Eye Medical Group, Inc.

  • Ophthalmology Physician
  • Tracy, CA
  • NPI 1184812851

  Optometrist

  Medicare reassignment NPD
• H Douglas Cooper MD Inc

  • Ophthalmology Physician
  • Sacramento, CA
  • NPI 1952607418

  Optometrist

  Medicare reassignment NPD
• Delta Eye Medical Group, Inc.

  • Ophthalmology Physician
  • Stockton, CA
  • NPI 1407964679
  NPD
• Delta Eye Medical Group, Inc.

  • Ophthalmology Physician
  • Lodi, CA
  • NPI 1457549123
  NPD
• Brady P. Rembleski O.D.

  • Corneal and Contact Management Optometrist
  • Sacramento, CA
  • NPI 1538399944
  NPD (past)

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1831445352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 VINTAGE OAKS CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951483825",
            "telephone_number": "916-718-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 S HAM LN",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423528",
            "telephone_number": "209-334-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "HIEU",
        "middle_name": "MINH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 14480 TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nia Tasha Lozano, M.D.
• Lancy Lu
• Christian Chan Lubrin, RN
• Brittany Luiz
• Madeline Hae Shin Lundgren, PA
• Debra Lynch
• Jessica Anne Lyon
• M&M Family Counseling Services
• Thao Ma
• Alisha Madrigal, PARAMEDICAL TATTOO

• Optometrist in Lodi, CA
• Providers in Lodi, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.