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DR. RICHARD VU-ANH LY O.D.
NPI 1285770628
Optometrist in Newark, CA

Active since January 30, 2007PECOS Enrolled
100 NEWPARK MALL, NEWARK, CA 94560(510) 745-9030 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Richard Vu-anh Ly O.d. NPPES

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

DR. RICHARD VU-ANH LY O.D. (NPI 1285770628) is an individual optometrist in Newark, California, licensed in California (13673T) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285770628
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. RICHARD VU-ANH LYCredential: O.D.
Location Address100 NEWPARK MALLNewark, CA 94560-5252
Mailing Address4675 Amiens AveFremont, CA 94555-2519 · (301) 801-5799
Phone(510) 745-9030
Sole ProprietorYes
Enumeration DateJanuary 30, 2007
Last NPPES UpdateFebruary 11, 2022
✔ NPI 1285770628 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 · 13673T
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.
100 NEWPARK MALL, Newark, CA 94560
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard Vu-anh Ly O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Richard Ly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
12 mi
Internal Medicine
1190 VETERANS BLVD
Redwood City, CA 94063
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1639252604 (650) 299-2000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94560 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 2

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

CALEB IAN CHUNG O.D.
Optometrist
100 NEWPARK MALL
NEWARK, CA 94560
Alameda County (510) 745-9030
ILY OPTOMETRY, INC.
Optometrist
100 NEWPARK MALL
NEWARK, CA 94560
Alameda County (510) 745-9030

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 Richard Ly's NPI number?

The NPI number for Richard Ly is 1285770628. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Richard Ly located?

Richard Ly practices at 100 Newpark Mall, Newark, CA 94560. The listed phone number is (510) 745-9030.

What is Richard Ly's specialty?

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

Is Richard Ly enrolled in Medicare?

Yes. Richard Ly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Richard Ly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Ly reassigns Medicare benefits to Permanente Medical Group Inc (Redwood City, CA). The 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 Richard Ly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Richard Ly was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.