SUSAN LY DR.
NPI 1154686889
Optometrist in Chantilly, VA

Active since July 09, 2012PECOS EnrolledAccepts Medicare Assignment
14391 CHANTILLY CROSSING LN, CHANTILLY, VA 20151(703) 817-0748(703) 817-0748 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 22, 2023, Aug 13, 2019 (2 updates tracked since 2019).

About Susan Ly Dr. NPPES

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

SUSAN LY DR. (NPI 1154686889) is an individual optometrist in Chantilly, Virginia, licensed in Virginia (0618002157) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of International American University At Puerto Rico - School Of Optometry (2012).

NPPES Registry Identity

NPI1154686889
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSUSAN LYCredential: DR.
Location Address14391 CHANTILLY CROSSING LNChantilly, VA 20151-2118
Mailing Address12527 Cerromar PlFairfax, VA 22030-6653 · (703) 338-8444 · Fax (703) 817-0748
Fax(703) 817-0748
Sole ProprietorNo
Medical School CMSInternational American University At Puerto Rico - School Of OptometryGraduated 2012
Enumeration DateJuly 9, 2012
Last NPPES UpdateFebruary 22, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2023
NPI 1154686889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in VA · 0618002157 Licensed in MD · TA2308
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.
14391 CHANTILLY CROSSING LN, Chantilly, VA 20151

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Susan Ly Dr. 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 ID1153576368
PECOS Enrollment IDI20130219000161
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20151 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
14391 CHANTILLY CROSSING LN
CHANTILLY, VA 20151
Pharmacist
14391 CHANTILLY CROSSING LN
CHANTILLY, VA 20151
Pharmacy Technician
14391 CHANTILLY CROSSING LN
CHANTILLY, VA 20151
Pharmacist
14391 CHANTILLY CROSSING LN
CHANTILLY, VA 20151
Pharmacist
14391 CHANTILLY CROSSING LN
CHANTILLY, VA 20151
Pharmacist
14391 CHANTILLY CROSSING LN
CHANTILLY, VA 20151
Pharmacy
14391 CHANTILLY CROSSING LN
CHANTILLY, VA 20151
Pharmacist
14391 CHANTILLY CROSSING LN
CHANTILLY, VA 20151

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 Susan Ly's NPI number?

The NPI number for Susan Ly is 1154686889. It was assigned to this individual provider in the NPPES registry on July 9, 2012.

Where is Susan Ly located?

Susan Ly practices at 14391 Chantilly Crossing Ln, Chantilly, VA 20151. The listed phone number is (703) 817-0748.

What is Susan Ly's specialty?

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

Is Susan Ly enrolled in Medicare?

Yes. Susan 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.

What insurance does Susan Ly accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Susan 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 Susan Ly was last updated on February 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.