DR. ALEXANDRA LY O.D.
NPI 1477675817
Optometrist in Irving, TX
About Dr. Alexandra Ly O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ALEXANDRA LY O.D. (NPI 1477675817) is an individual optometrist in Irving, Texas, licensed in Texas (7000TG) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Richmond, and is a graduate of Southern College Of Optometry (2006).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Dr. Alexandra 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.
Medicare Billing Reassignments
2Medicare enrollment records show Alexandra Ly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Irving, TX 75062
- Reassigned Medicare billing, Texas enrollment
- 2 clinicians in this Medicare group
Irving, TX 75062
- Reassigned Medicare billing, Texas enrollment
- 2 clinicians in this Medicare group
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 75062 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Alexandra Ly's NPI number?
The NPI number for Alexandra Ly is 1477675817. It was assigned to this individual provider in the NPPES registry on April 5, 2007.
Where is Alexandra Ly located?
Alexandra Ly practices at 3425 Grande Bulevar, Irving, TX 75062. The listed phone number is (972) 639-5836.
What is Alexandra Ly's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Alexandra Ly enrolled in Medicare?
Yes. Alexandra 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 Alexandra Ly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Ly reassigns Medicare benefits to 2 organizations: Kudo Care Eye Center PLLC (Irving, TX) and Kudo Care Optometry PLLC (Irving, TX). 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 Alexandra Ly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alexandra Ly accept?
Health plans from Anthem Blue Cross and Blue Shield, Baylor Scott and White Health Plan, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 12 other insurers list Alexandra 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 Alexandra Ly was last updated on June 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Alexandra Ly, O.D. · NPI 1477675817
Optometrist provider in Irving, Texas. Individual provider, active in the CMS NPPES registry since April 5, 2007.
## Identity
- **NPI:** 1477675817 (Entity type: Individual)
- **Enumerated:** April 5, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 7000TG (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 3425 GRANDE BULEVAR, Irving, TX 75062
- **Phone:** (972) 639-5836
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Kudo Care Eye Center PLLC (NPI 1477417681, Irving, TX); Kudo Care Optometry PLLC (NPI 1407385388, Irving, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern College Of Optometry, class of 2006
## Record status
- **NPPES last updated:** June 28, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1477675817) · Data from the CMS NPPES public registry.