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VAN B. LY, LLC
NPI 1154585024
Clinic/Center in Olympia, WA

Active since July 10, 2008
319 7TH AVE SE, SUITE #101, OLYMPIA, WA 98501(360) 357-2544(360) 786-8734 Get Directions Write a Review

NPPES record last updated: June 1, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Van B. Ly, Llc NPPES

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

VAN B. LY, LLC (NPI 1154585024) is a healthcare organization registered as a clinic/center in Olympia, Washington and active in the NPI registry since July 2008. The organization lists Van B Ly, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1154585024
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameVAN B. LY, LLC
Location Address319 7TH AVE SE, SUITE #101Olympia, WA 98501-1325
Mailing Address319 7th Ave Se, Suite #101Olympia, WA 98501-1325 · (360) 357-2544 · Fax (360) 786-8734
Phone(360) 357-2544
Fax(360) 786-8734
Organization SubpartNo
Authorized OfficialVan B LyOptometrist · (360) 357-2544
Enumeration DateJuly 10, 2008
Last NPPES UpdateJune 1, 2010
✔ NPI 1154585024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in WA · 602832856
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
319 7TH AVE SE, Olympia, WA 98501
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Van B. Ly, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Van B. Ly, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Van Ly, O.D.
Optometry
NPI 1386836591
319 7TH AVE SE SUITE #101
Olympia, WA 98501
(360) 357-2544
✔ PECOS✔ Accepts MedicareSame address
Kyle Benefield, O.D.
Optometry
NPI 1396133138
9652 N NEWPORT HWY
Spokane, WA 99218
(509) 468-8080
✔ PECOS✔ Accepts Medicare262 mi

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

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 Van B. Ly, LLC's NPI number?

The NPI number for Van B. Ly, LLC is 1154585024. It was assigned to this organization in the NPPES registry on July 10, 2008.

Where is Van B. Ly, LLC located?

Van B. Ly, LLC is located at 319 7th Ave SE Suite #101, Olympia, WA 98501. The listed phone number is (360) 357-2544.

What is Van B. Ly, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Van B. Ly, LLC enrolled in Medicare?

Yes. Van B. Ly, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Van B. Ly, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Van B. Ly, LLC. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Van B. Ly, LLC accept?

Health plans from Ambetter Health, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Van B. Ly, LLC 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 Van B. Ly, LLC was last updated on June 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.