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DR. ALEXANDRA LY O.D.
NPI 1477675817
Optometrist in Irving, TX

Active since April 05, 2007PECOS EnrolledAccepts Medicare Assignment
3425 GRANDE BULEVAR, IRVING, TX 75062(972) 639-5836 Get Directions Write a Review

NPPES record last updated: June 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1477675817
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ALEXANDRA LYCredential: O.D.
Location Address3425 GRANDE BULEVARIrving, TX 75062
Mailing Address3425 Grande BulevarIrving, TX 75062-5108 · (972) 639-5836
Phone(972) 639-5836
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2006
Enumeration DateApril 5, 2007
Last NPPES UpdateJune 28, 2019
✔ NPI 1477675817 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 TX · 7000TG
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.
3425 GRANDE BULEVAR, Irving, TX 75062
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Secondary Practice Location 1

Location 15330 Fm 1640 RdRichmond, TX 77469-5435 · Phone (281) 342-9922 · Fax (281) 342-9923

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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. 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.

PECOS PAC ID4587735972
PECOS Enrollment IDI20080612000133
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 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.

New Patient
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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 14

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

ESTRADA & ESTRADA LLC
Public Health or Welfare
3425 GRANDE BULEVAR
IRVING, TX 75062
Dallas County (972) 639-5836
ANH QUYNH NGUYEN D.D.S
Dentist
3425 GRANDE BULEVAR
IRVING, TX 75062
Dallas County (972) 639-5836
AN TAT NGUYEN DDS
Dentist
3425 GRANDE BULEVAR
IRVING, TX 75062
Dallas County (972) 639-5836
KUDO CARE MEDICAL PLLC
Family Medicine
3425 GRANDE BULEVAR
IRVING, TX 75062
Dallas County (972) 258-8354
KUDO CARE OPTOMETRY PLLC
Optometrist
3425 GRANDE BULEVAR
IRVING, TX 75062
Dallas County (972) 258-8354
FARMEHR GROUP
Nurse Practitioner (Family)
3425 GRANDE BULEVAR
IRVING, TX 75062
Dallas County (972) 639-5836
KUDO CARE EYE CENTER PLLC
Ophthalmology
3425 GRANDE BULEVAR
IRVING, TX 75062
Dallas County (972) 639-5836
MARIA TERESA TARANGO NP
Nurse Practitioner (Family)
3425 GRANDE BULEVAR
IRVING, TX 75062
Dallas County (972) 639-5836

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.

What insurance does Alexandra Ly accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 9 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.