Individual provider Active NPI

Lhamo Kyi, OD

  • Optometrist
  • Plymouth, MA
National Provider Identifier
1891304465
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT5582 Issued in MA
Practice address
2277 State Rd Unit F
Plymouth, MA 02360-7111
Phone
(508) 888-6393
Fax
(508) 833-3551
NPI assigned
Jul 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV009191 NY
Optometrist 152W00000X OPT5582 MA Primary

Addresses

Primary practice location

2277 State Rd Unit F
Plymouth, MA 02360-7111

Mailing address

2277 State Rd Unit F
Plymouth, MA 02360-7111
Phone (508) 888-6393

Other practice location 1

16413 Jamaica Ave
Jamaica, NY 11432-4913
Phone (646) 321-5802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20230831002717 MA Practitioner - Optometry 1456778604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

159 Samoset St
Suite 6
Plymouth, MA 02360-4815
Phone (508) 746-1990

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009191NYMDClinical Psychologist
TUV009191NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cedarville Eye PC Optometrist CurrentSince Apr 9, 2024 Accepting new patients
LK Vision Inc Optometrist CurrentSince May 9, 2024 Accepting new patients

Locations

159 Samoset St
Ste 6
Plymouth, MA 02360
Phone (508) 746-1990

2277 State Rd
Unit F
Plymouth, MA 02360
Phone (508) 888-6393

Organizations & group practices 2

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": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1891304465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2277 STATE RD UNIT F",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607111",
            "telephone_number": "508-888-6393",
            "fax_number": "508-833-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 STATE RD UNIT F",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607111",
            "telephone_number": "508-888-6393",
            "fax_number": "508-833-3551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16413 Jamaica Ave",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114324913",
            "country_code": "US",
            "telephone_number": "646-321-5802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KYI",
        "first_name": "LHAMO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009191",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "OPT5582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.