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KIM LY O.D.
NPI 1083148571
Optometrist in Anaheim, CA

Active since April 12, 2017PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1125 S TORRY PL, ANAHEIM, CA 92806(714) 818-3514 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kim Ly O.d. NPPES

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

KIM LY O.D. (NPI 1083148571) is an individual optometrist in Anaheim, California, licensed in California (33639) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1083148571
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKIM LYCredential: O.D.
Location Address1125 S TORRY PLAnaheim, CA 92806-4924
Mailing Address1125 S Torry PlAnaheim, CA 92806-4924 · (714) 818-3514
Phone(714) 818-3514
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 12, 2017
✔ NPI 1083148571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 33639
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1125 S TORRY PL, Anaheim, CA 92806
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kim Ly O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133490659
PECOS Enrollment IDI20170802001049
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kim Ly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nationwide Optometry P.C.
342 mi
Optometrist
2040 E RIO SALADO PKWY STE 120
Tempe, AZ 85288
  • Reassigned Medicare billing, Arizona enrollment
  • 139 clinicians in this Medicare group
NPI 1326472945 (480) 966-4992
Hodges Eye Care & Surgical Center, Inc.
418 mi
Specialist
1502 N. TUCSON BLVD.
Tucson, AZ 85716
  • Reassigned Medicare billing, Arizona enrollment
  • 6 clinicians in this Medicare group
NPI 1770797631 (520) 326-4321

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
180 services179 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
76 services76 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
74 services74 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
69 services69 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
67 services67 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
37 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92806 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost100

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 Kim Ly's NPI number?

The NPI number for Kim Ly is 1083148571. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Where is Kim Ly located?

Kim Ly practices at 1125 S Torry Pl, Anaheim, CA 92806. The listed phone number is (714) 818-3514.

What is Kim Ly's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kim Ly enrolled in Medicare?

Yes. Kim Ly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kim Ly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Ly reassigns Medicare benefits to 2 organizations: Nationwide Optometry P.C. (Tempe, AZ) and Hodges Eye Care & Surgical Center, Inc. (Tucson, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kim Ly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kim Ly accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 6 other insurers list Kim 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 Kim Ly was last updated on April 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.