Active NPI
Jessica Trang Ly, O.D.
- Optometrist
- Monrovia, CA
National Provider Identifier
1851711139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14782TLG
- Practice address
- 618 W Huntington Dr
Monrovia, CA 91016-3206 - Phone
- (323) 303-1966
- Fax
- (626) 358-7448
- NPI assigned
- Apr 24, 2014
- 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 | 14782TLG | CA | Primary |
Addresses
Primary practice location
618 W Huntington Dr
Monrovia, CA 91016-3206
Mailing address
618 W Huntington Dr
Monrovia, CA 91016-3206
Phone (323) 303-1966
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14782TLG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jessia T Ly OD Inc | Optometrist | Current | Accepting new patients |
Locations
618 W Huntington Dr
Monrovia, CA 91016
Phone (323) 303-1966
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.
-
- Optometrist
- Monrovia, CA
- NPI 1437992864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474588800000",
"number": "1851711139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 W HUNTINGTON DR",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910163206",
"telephone_number": "323-303-1966",
"fax_number": "626-358-7448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 W HUNTINGTON DR",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910163206",
"telephone_number": "323-303-1966",
"fax_number": "626-358-7448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "JESSICA",
"middle_name": "TRANG",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-24",
"last_updated": "2016-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14782TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monrovia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.