Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SIVHOUR LY OD
NPI 1346498029
Optometrist in Cranston, RI

Q: What is Sivhour Ly's NPI number?

The NPI number for Sivhour Ly is 1346498029. It was assigned to this individual provider in the NPPES registry on September 5, 2008.

Q: What is Sivhour Ly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sivhour Ly was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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 05, 2008PECOS Enrolled

868 RESERVOIR AVE, CRANSTON, RI 02910(401) 942-9933 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 17, 2026, Jul 22, 2022 (2 updates tracked since 2022).

On this page

About Dr. Sivhour Ly Od NPPES

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

DR. SIVHOUR LY OD (NPI 1346498029) is an individual optometrist in Cranston, Rhode Island, licensed in Rhode Island (ODTA00580) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of New England College Of Optometry (2008).

NPPES Registry Identity

NPI1346498029

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. SIVHOUR LYCredential: OD

Location Address868 RESERVOIR AVECranston, RI 02910-4414

Mailing Address891 Westminster StProvidence, RI 02903-4020 · (401) 331-7850 · Fax (401) 274-4739

Phone(401) 942-9933

Sole ProprietorNo

Medical School CMSNew England College Of OptometryGraduated 2008

Enumeration DateSeptember 5, 2008

Last NPPES UpdateAugust 17, 20262 updates tracked since enumeration

NPPES CertifiedAugust 17, 2026

✔ NPI 1346498029 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 RI · ODTA00580✔ Licensed in MA · 4694

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.

868 RESERVOIR AVE, Cranston, RI 02910

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Secondary Practice Locations 2

Location 11543 Smith StNorth Providence, RI 02911-2943 · Phone (401) 353-2010 · Fax (401) 353-0380

Location 2891 Westminster StProvidence, RI 02903-4020 · Phone (401) 331-7850 · Fax (401) 274-4739

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sivhour Ly Od 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 ID5496804098

PECOS Enrollment IDI20090529000470

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.

Areas of Expertise CMS Part B claims 2

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.

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

27 services27 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02910 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

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

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

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

DR. JOHN S CORVESE O.D.

Optometrist

868 RESERVOIR AVE
CRANSTON, RI 02910

Providence County (401) 942-9933

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 Sivhour Ly's NPI number?

The NPI number for Sivhour Ly is 1346498029. It was assigned to this individual provider in the NPPES registry on September 5, 2008.

Where is Sivhour Ly located?

Sivhour Ly practices at 868 Reservoir Ave, Cranston, RI 02910. The listed phone number is (401) 942-9933.

What is Sivhour Ly's specialty?

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

Is Sivhour Ly enrolled in Medicare?

Yes. Sivhour 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 Sivhour Ly accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Sivhour 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 Sivhour Ly was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.