Individual provider Active NPI

Felipe Ly, O.D.

  • Optometrist
  • Tomball, TX
National Provider Identifier
1972934412
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8324T Issued in TX
Practice address
17202 Champions Lakeway
Tomball, TX 77375-8375
Phone
(832) 868-2934
NPI assigned
Dec 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8324T TX Primary

Addresses

Primary practice location

17202 Champions Lakeway
Tomball, TX 77375-8375

Mailing address

17202 Champions Lakeway
Tomball, TX 77375-8375
Phone (832) 868-2934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150219000215 TX Practitioner - Optometry 5698090439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lin and Tran OD PAGroup PAC ID 6800042656, 3 clinicians

Practice addresses (Care Compare)

20131 Hwy 59 N
Suite 2416
Humble, TX 77338-2336
Phone (281) 446-0440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8324TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lin & Tran OD PA Optometrist CurrentSince Jan 1, 2015 Accepting new patients

Locations

20131 Highway 59 N
Ste 2416
Humble, TX 77338
Phone (281) 446-0440

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": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1972934412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17202 CHAMPIONS LAKEWAY",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773758375",
            "telephone_number": "832-868-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17202 CHAMPIONS LAKEWAY",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773758375",
            "telephone_number": "832-868-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "FELIPE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8324T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.