DR. MICHAEL MINH BA LY D.O
NPI 1013014794
Optometrist - Pediatrics in Moreno Valley, CA

Q: What is Michael Ly's NPI number?

The NPI number for Michael Ly is 1013014794. It was assigned to this individual provider in the NPPES registry on September 17, 2006.

Q: What is Michael Ly's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Pediatrics, with taxonomy code 152WP0200X.

Q: When was this NPI record last updated?

The NPPES record for Michael Ly was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 17, 2006

22450 TOWN CIR, MORENO VALLEY, CA 92553(951) 653-1055 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Michael Minh Ba Ly D.o NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL MINH BA LY D.O (NPI 1013014794) is an individual pediatrics provider in Moreno Valley, California, licensed in California (11700T) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1013014794

Entity TypeIndividualMale

Primary Taxonomy152WP0200X

Provider Legal NameDR. MICHAEL MINH BA LYCredential: D.O

Location Address22450 TOWN CIRMoreno Valley, CA 92553-7506

Mailing Address4868 Golden Ridge DrCorona, CA 92880-9421 · (951) 898-3585

Phone(951) 653-1055

Sole ProprietorYes

Enumeration DateSeptember 17, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1013014794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometrist · PediatricsEye and Vision Services Providers

Taxonomy Code152WP0200X

License✔ Licensed in CA · 11700T

Definition

Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

Also ListedOptometristTaxonomy 152W00000X · License 11700T (CA)

22450 TOWN CIR, Moreno Valley, CA 92553

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Other Identifiers 1

OtherCA1700CA · Eyemed

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Providence Health Plan.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Ly's NPI number?

The NPI number for Michael Ly is 1013014794. It was assigned to this individual provider in the NPPES registry on September 17, 2006.

Where is Michael Ly located?

Michael Ly practices at 22450 Town Cir, Moreno Valley, CA 92553. The listed phone number is (951) 653-1055.

What is Michael Ly's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Pediatrics, with taxonomy code 152WP0200X.

What insurance does Michael Ly accept?

Health plans from BlueCross BlueShield of Tennessee and Providence Health Plan list Michael Ly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Ly was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.