HOANHA LY O.D.
NPI 1619343829
Optometrist in W Sacramento, CA

Q: What is Hoanha Ly's NPI number?

The NPI number for Hoanha Ly is 1619343829. It was assigned to this individual provider in the NPPES registry on August 12, 2015.

Q: What is Hoanha 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 Hoanha 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.

Active since August 12, 2015PECOS EnrolledAccepts Medicare Assignment

2101 STONE BLVD, STE 150, W SACRAMENTO, CA 95691(916) 372-3090 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Hoanha Ly O.d. NPPES

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

HOANHA LY O.D. (NPI 1619343829) is an individual optometrist in W Sacramento, California, licensed in California (OPT15292TLG) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2015).

NPPES Registry Identity

NPI1619343829

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameHOANHA LYCredential: O.D.

Location Address2101 STONE BLVD, STE 150W Sacramento, CA 95691-4044

Mailing Address2101 Stone Blvd, Ste 150W Sacramento, CA 95691-4044

Phone(916) 372-3090

Sole ProprietorYes

Medical School CMSSouthern California College Of OptometryGraduated 2015

Enumeration DateAugust 12, 2015

Last NPPES UpdateFebruary 11, 2022

✔ NPI 1619343829 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 · OPT15292TLG

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.

2101 STONE BLVD, W Sacramento, CA 95691

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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 and accepts Medicare assignment

Hoanha 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 ID2860781739

PECOS Enrollment IDI20160516002078

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 Reassignments

Medicare enrollment records show Hoanha Ly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Provider Profile

0.1 mi

Optometrist

2101 STONE BLVD, STE. 150
West Sacramento, CA 95691

Reassigned Medicare billing, California enrollment
7 clinicians in this Medicare group

NPI 1134190689 (916) 372-3090

Permanente Medical Group Inc

40 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

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 95691 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

$137.20 typical visit price

range $60.44 – $180.85

Typical copayment $34.30 (range $15.11 – $45.21)

Most-billed visit code 99204

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

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.

KIRANDIP KAUR

Nurse Practitioner (Primary Care)

2101 STONE BLVD
WEST SACRAMENTO, CA 95691

Yolo County (916) 800-6975

DR. MATTHEW LOGAN WAMPLER OD

Optometrist

2101 STONE BLVD, STE. 150
WEST SACRAMENTO, CA 95691

Yolo County (916) 372-3090

IRYNA RYBAK PA

Physician Assistant (Medical)

2101 STONE BLVD
WEST SACRAMENTO, CA 95691

Yolo County (916) 945-1189

PAUL A. JOHNSON DDS INC

Dentist (Pediatric Dentistry)

2101 STONE BLVD, SUITE 130
WEST SACRAMENTO, CA 95691

Yolo County (916) 227-8055

KAREN PHAM

Physician Assistant

2101 STONE BLVD, STE 190
WEST SACRAMENTO, CA 95691

Yolo County (916) 392-4000

CICERO AND HENDRICKS PHYSICAL THERAPY

Physical Therapist

2101 STONE BLVD, 175
WEST SACRAMENTO, CA 95691

Yolo County (916) 617-2400

MRS. CHERYL ANN BURINGRUD PT

Physical Therapist

2101 STONE BLVD, SUITE 175
WEST SACRAMENTO, CA 95691

Yolo County (916) 617-2400

ANA KARLA MARTINEZ PA-C

Physician Assistant

2101 STONE BLVD
WEST SACRAMENTO, CA 95691

Yolo County (916) 371-4939

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 Hoanha Ly's NPI number?

The NPI number for Hoanha Ly is 1619343829. It was assigned to this individual provider in the NPPES registry on August 12, 2015.

Where is Hoanha Ly located?

Hoanha Ly practices at 2101 Stone Blvd Ste 150, W Sacramento, CA 95691. The listed phone number is (916) 372-3090.

What is Hoanha Ly's specialty?

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

Is Hoanha Ly enrolled in Medicare?

Yes. Hoanha 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 Hoanha Ly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hoanha Ly reassigns Medicare benefits to 2 organizations: (West Sacramento, CA) and Permanente Medical Group Inc (Stockton, CA). 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 Hoanha 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 Hoanha 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.